From the Research
Milia around the eyes can suddenly appear due to various factors, including skin damage, heavy skincare products, certain medications, or skin conditions, and the most effective way to address them is through a combination of gentle skincare habits and, if necessary, professional treatments like extraction or topical retinoids. The development of milia is often associated with trapped keratin beneath the skin's surface, and their appearance can be influenced by genetic predisposition, sun exposure, and the use of comedogenic products 1.
Causes and Prevention
The delicate skin around the eyes is particularly susceptible to milia due to its thinness and fewer oil glands compared to other facial areas. Factors that can contribute to the sudden appearance of milia include:
- Skin damage from sun exposure
- Long-term use of heavy skincare products or makeup that clogs pores
- Certain medications like steroid creams
- Skin conditions like blistering disorders
- Genetic predisposition
To prevent milia, it is recommended to:
- Use non-comedogenic products
- Exfoliate gently 1-2 times weekly
- Avoid heavy eye creams
- Protect the skin from sun damage with SPF and sunglasses
Treatment Options
While milia are generally harmless and may resolve on their own within a few weeks or months, persistent cases can be addressed by a dermatologist through various treatments, including:
- Extraction
- Topical retinoids
- Chemical peels
- Microdermabrasion
Recent studies, such as the one published in 2023 1, emphasize the importance of gentle skincare measures and the potential benefits of topical treatments for managing skin conditions that may be associated with milia. However, for the specific management of milia, the approach should focus on preventing further skin irritation and promoting the natural resolution of these small white cysts.
Given the available evidence, the most appropriate recommendation for managing milia around the eyes is to maintain a gentle skincare routine, avoid irritants, and consider professional advice for persistent cases. This approach prioritizes the prevention of further skin damage and the promotion of the skin's natural healing processes, which is in line with the principles of minimizing morbidity, mortality, and improving quality of life.