Milia are small white bumps on the skin Milia are very common near the eyes, nose, cheeks and chin area. Its appearance is a small white bump comprised of keratin, but it can also be clusters of dead compacted skin. It can appear similar to a pimple/whitehead. The difference between milia and a whitehead is that there is pus in side of a whitehead. Milia have a harder kernel that is not liquid.
They are mainly seen on newborns - but are fairly common in adulthood as well. They are not a pimple, are not dangerous in any way, and actually do not require treatment. By adapting your daily regimen to include products such as acids and retinoids you can aid in their removal and stop [or reduce] the rate in which they generate.
Milia occur when dead skin becomes trapped under the skin. It forms a hard clog called a milium. They can also happen from things such as sun damage, genes, long term steroid usage or an immune condition. ... There are a few kinds of milia - including Infant. But the main issues adults deal with will stem from one of the two following:
- Primary milia: Primary milia are small cysts that are common on your eyelids, forehead, cheeks or genitals. They affect both children and adults. 
- Secondary milia (traumatic milia): Secondary milia are small cysts that occur after damage (blistering) to your skin, either from burns, rashes, blisters or sunlight exposure. They can also form as a reaction from using too-heavy skin creams or ointments. 
Some find their appearance bothersome, and so they can be easily removed in a medical setting by being lanced and pushed through the skin.
*If you have white bumps and there is fluid inside or they are painful to the touch, you should look into an acne regimen.
There are some at-home treatments you can do to help prevent their reoccurrence and even remove them. Exfoliation is the KEY!
Here is a regimen that will aid in reducing, removing, preventing milia.
- Wash every day with an exfoliating cleanser. Our 3-in-1 Mandelic cleanser with scrubbing beads would be excellent for this. Another great option to dig into pores is our AB Cleanser with glycolic and salicylic. A toner can be very targeted and our 6-in-1 Toner could be helpful if your skin is drier and you don't want the acid all over your face.
- Use physical exfoliation techniques. Exfoliators like our Dermabrasion Scrub can be used 1-5x per week to help remove the dead skin build-up. With the combination of physical beads and acid, just a few minutes a day can help. Other physical options are using face brushes, pads w/netting, rough washcloths. Don't be scared to actually "buff" the skin a bit.
- Use a retinoid every night. Retinoids are Key in keeping your pores clear and your skin turning over quickly. Retinoids dig into the pores and aid in shedding the inner lining. This helps to remove dead skin and other debris from multiplying. Our Fusion A .15 or .25 are great places to start with this process. *An additional bonus of retinoids is that it stimulates your skin to turn over much more quickly than it is now. As we get older this slows greatly. You can speed up your skin's turnover by a month or more when you use retinoids.
- Try a chemical peel. Peels can get the dead skin off faster than anything. Some can be done 1x a week and others are a monthly option. A great peel that will dig deep into the pores would be a Salicylic 15% peel. There are many other options/acids... but with salicylic's property it is the best in this situation. Again... if you don't want to peel the entire face you can spot treat with this as well.
- Use a sterile needle. We are not condoning the removal of milia by digging into the pores. But, if it is almost surface level there are times where a little poke is all you need to push it out. Always do this on freshly cleansed skin and use a sterile needle. Wash again afterwards. Even if you do get this out, you will need to alter your regimen to keep them from reforming again. Use our suggestions above.
If after a few weeks you are not finding that the milia are lessening, you may wish to seek out a dermatologist that will aid in lancing and removing the kernels deep in the skin. This may be the best option for you - especially if there are many. Again, you will need to alter your regimen for future needs.
If you do not have an abundance of dead skin, the original clogs can not happen. So be sure to use ingredients that will exfoliate the stratum corneum (outermost layers of dead skin). We suggest things like:
- Fusion A retinoid. This will keep your skin turning over continuously.
- Acid based cleansers such as: Revitalizing Cleanser, AB Cleanser, 3-in-1 Cleanser or Anti-aging Cleanser.
- Chemical peels. 7% TCA (face and eye peel) is an excellent option. Glycolic 30 or Mandelic 40 as well.
Reference  Cleveland Clinic - Milia - Diseases