Milia are small, white or yellowish cysts that often develop around the eyes. While they are harmless and non-contagious, their appearance can be bothersome, especially when they cluster under delicate skin. This in-depth blog explains the causes, types, treatment options, and prevention strategies for milia around the eyes, especially focusing on safe practices in the UK.

Understanding Milia Around the Eyelids

Milia are tiny, keratin-filled cysts that form when dead skin cells become trapped beneath the skin's surface. They often appear as small, white or yellowish bumps and are commonly found around the eyes, including the eyelids. Unlike acne, milia are not caused by clogged pores or bacterial infections.

Types of Milia

There are several classifications of milia:

• Primary milia: Develop spontaneously and are common in both infants and adults.

• Secondary milia: Arise following skin trauma, burns, or long-term use of steroid creams.

• Neonatal milia: Appear in newborns and typically resolve without intervention.

• Milia en plaque: Involve groups of milia on inflamed, raised skin and are often seen in iddle-aged women.

• Multiple eruptive milia: Manifest as widespread clusters, developing over weeks or months.
  
  

Causes of Milia on the Eyelids

Milia around the eyes can result from multiple factors. The primary cause is the build-up of dead skin cells that become trapped in small pockets under the surface of the skin. These bumps are common in individuals with dry or aging skin, as cell turnover slows down over time. Other triggers include excessive sun exposure, the use of heavy or oil-based cosmetics, skin resurfacing treatments, and long-term steroid cream use. Genetic predisposition may also make certain individuals more susceptible.

Why You Should Avoid DIY Eyelid Milia Removal

Attempting to remove milia at home, especially around the sensitive eye area, is not recommended. The eyelid skin is delicate, and improper removal techniques can lead to:

• Scarring: Damaging the skin can result in permanent marks.

• Infection: Non-sterile tools can introduce bacteria.

• Eye Injury: Accidental harm to the eye itself.
  
  

It's essential to seek professional assistance for safe and effective removal.

Professional Eyelid Milia Removal Methods in the UK

Several professional treatments are available in the UK for removing milia from the eyelids:

• Manual Extraction: A dermatologist uses a sterile needle to create a tiny opening and gently extracts the milia. This method is precise and often used for delicate areas like the eyelids.
  
  

• Cryotherapy: Liquid nitrogen is applied to freeze and remove the milia. This method is quick but may not be suitable for all skin types.
  
  

• Electrocautery: An electric current is used to burn away the milia. It's effective but requires expertise to avoid skin damage.
  
  

• Laser Ablation: A focused laser beam targets and removes the milia. This method offers precision and minimal downtime.
  
  

• Chemical Peels: A chemical solution exfoliates the skin, helping to remove milia and prevent future occurrences.
  
  

These treatments are generally quick and have minimal downtime when performed by professionals trained in dealing with sensitive areas like the eye contour.

Cost of Eyelid Milia Removal in the UK

The price of milia removal varies depending on the method chosen and the number of cysts to be removed. Manual extraction can range from £25 to £100. Cryotherapy and electrocautery usually cost between £80 to £300. Laser treatments, being more advanced, may fall within the range of £150 to £300. Chemical peels can vary in cost based on their strength and depth. Many UK clinics offer consultations to assess the condition before providing exact pricing.

Aftercare Following Milia Removal

Proper aftercare is crucial to prevent recurrence or irritation following professional treatment. Patients are generally advised to gently cleanse the area with fragrance-free products and avoid using eye makeup for at least 24 to 48 hours. Applying a non-comedogenic moisturiser and daily sunscreen helps the skin heal and reduces the risk of pigmentation. It is also recommended to avoid saunas, swimming pools, and direct sun exposure immediately after treatment.

Preventing Milia Formation on the Eyelids

Prevention is often easier than treatment. Incorporating the following habits into your skincare routine can significantly reduce the chances of milia formation:

• Regular Exfoliation: Use mild chemical exfoliants to promote skin turnover.

• Lightweight Skincare Products: Opt for non-comedogenic moisturisers and sunscreens.

• Avoid Heavy Eye Creams: Steer clear of thick, oily products around the eye area.

• Sun Protection: Use broad-spectrum SPF to shield the skin from UV damage.

• Consistent Cleansing: Remove makeup and dirt daily to prevent pore blockage.

By sticking to a minimal and skin-friendly regimen, you can promote healthy cell turnover and reduce build-up under the skin.

When to See a Dermatologist

Consult a skin specialist if milia persist despite home treatments, are widespread, or continue to increase in number. Additionally, if you notice signs of infection such as redness, swelling, or discharge, seek medical advice immediately. A dermatologist can provide diagnosis and rule out other conditions that may mimic milia, like syringomas or xanthelasma.

Conclusion

Milia on the eyelids are common and usually harmless, but they can be a source of cosmetic concern. In the UK, several safe and effective removal options exist for those seeking clearer, smoother skin. By understanding their causes and implementing a proactive skincare routine, you can prevent their formation and maintain a healthy complexion.

If you're ready to safely remove milia or need expert guidance, visit Prime Aesthetics for personalised skincare solutions. Our professional team ensures precise, gentle treatments tailored to your unique skin needs.