Milia are something I see very regularly in the clinic, and most people are familiar with how they usually present: small, white, pearl-like bumps that sit just beneath the skin, often around the eyes or on the cheeks.
However, what many people don’t realise is that milia don’t always appear as single, scattered spots. In some cases, they can form in what we often describe as “cluster milia”, where multiple milia sit closely together in one concentrated area, rather than individually.
This type of presentation can look quite different and understandably cause concern.
Clustered milia often appear as a group of closely packed bumps, commonly in areas like the corner of the eye and sometimes they can appear bright white in appearance, or take on a slightly yellow tone. When yellowy, it can make them appear more noticeable and, at times, a little harder to identify if you’re not used to seeing them.
So, what does it actually mean if you have milia presenting in this way?
In most cases, it is still completely benign. Milia are simply small cysts formed by trapped keratin (a protein naturally found in the skin), and when they appear in clusters, it usually indicates that the skin in that specific area is more prone to retention. This can be influenced by skin type, product use, previous skin trauma, or simply the delicate nature of certain areas, particularly around the eyes.
The eye contour is especially prone to this, as the skin is thinner and more sensitive, making it easier for keratin to become trapped and build up over time.
In terms of treatment, milia that appear in clusters can be treated, but they do require a careful, skilled approach, particularly in delicate areas like the eye contour. Attempting to remove them yourself can lead to damage, scarring, or infection. I will always work cautiously and in stages; I will never target all the milia at once.
In the clinic, I assess each case individually to ensure safe and effective removal, while also looking at potential contributing factors to help reduce recurrence where possible. I will always treat carefully, never over-treating in one session, even when there are many to target. This is so important to protect the skin.
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