From the Research
No treatment is necessary for newborn milia as these small, white bumps typically resolve on their own within a few weeks to months. Parents should avoid trying to squeeze or pop the bumps, as this can cause irritation, inflammation, or infection. Gentle cleansing of the baby's face with warm water is sufficient; harsh soaps, lotions, or oils should be avoided as they may worsen the condition or clog pores. Milia occur when dead skin cells become trapped in small pockets near the skin's surface, forming tiny cysts. They are extremely common in newborns, affecting up to 50% of babies, and are completely harmless 1.
If the milia persist beyond three months, are widespread, or if there is any redness, swelling, or other concerning symptoms, parents should consult their pediatrician to rule out other skin conditions. Otherwise, patience is the best approach as the baby's skin naturally exfoliates and the milia clear up on their own. It's worth noting that milia can be differentiated from neonatal acne by their presence at birth 1.
Some key points to consider when dealing with newborn milia include:
- Avoiding harsh soaps, lotions, or oils
- Gentle cleansing with warm water
- Not squeezing or popping the bumps
- Monitoring for persistence or concerning symptoms
- Consulting a pediatrician if necessary
Overall, the approach to newborn milia should prioritize a wait-and-see approach, allowing the baby's skin to naturally exfoliate and clear up the milia on its own, as supported by the most recent evidence 1.