From the Research
Milia in newborns typically requires no treatment as these small white bumps are harmless and will resolve on their own within a few weeks to months. Parents should avoid trying to pop or scrub the milia, as this can irritate the baby's sensitive skin and potentially cause infection. Simply cleanse the baby's face with warm water during regular bathing, gently patting the skin dry afterward. No special creams, ointments, or medications are needed. Avoid applying oils or heavy moisturizers to the affected areas as these may worsen the condition. Milia occur because keratin, a protein found in skin, becomes trapped beneath the surface of the skin when the oil glands are still developing in newborns. They commonly appear on the nose, chin, cheeks, and forehead. If the bumps appear infected (redness, swelling, discharge), spread rapidly, or persist beyond three months, consult a pediatrician to rule out other skin conditions that may require medical intervention. According to a study published in the American Family Physician 1, milia result from immaturity of skin structures and are usually benign. Another study published in the Journal of the American Academy of Dermatology 2 provides a comprehensive review of milia, but the most relevant and recent guidance for newborn treatment is found in the study by the American Family Physician 1.
Some studies suggest the use of topical treatments such as tretinoin for milia in certain cases 3, 4, but these are not typically recommended for newborns. The American Acne and Rosacea Society also provides guidelines for the management of pediatric acne, but these are not directly applicable to the treatment of milia in newborns 5.
In terms of specific care, it is essential to:
- Cleanse the baby's face gently with warm water
- Pat the skin dry afterward
- Avoid applying oils or heavy moisturizers
- Avoid popping or scrubbing the milia
- Consult a pediatrician if the bumps appear infected or persist beyond three months.
Overall, the approach to treating milia in newborns should prioritize gentle care and avoidance of potential irritants, with medical intervention only if necessary.