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Milia Explained by a Dermatologist | Causes, Treatment & Skincare Myths

Feb 26, 2026 · 82.5K views

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Skincare

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DescriptionIn today’s video, board-certified dermatologist Dr. Dray discusses milia, the tiny white bumps that commonly appear on the face. What are they? What causes them? Are they related to skincare products? And when should you have them evaluated? Milia are small keratin-filled cysts that sit just beneath the surface of theMore
In today’s video, board-certified dermatologist Dr. Dray discusses milia, the tiny white bumps that commonly appear on the face. What are they? What causes them? Are they related to skincare products? And when should you have them evaluated? Milia are small keratin-filled cysts that sit just beneath the surface of the skin. They are extremely common, completely benign, and not the same as acne. In this video, Dr. Dray explains how milia form, the difference between primary and secondary milia, and why they are not caused by moisturizers or sunscreen. You will also learn about: • How normal skin turnover works • Why keratin can become trapped under the skin • Common triggers for secondary milia such as burns, laser procedures, rashes, and inflammation • Medications associated with milia formation • Rare genetic conditions where milia may be one feature • Conditions that can look like milia and why proper diagnosis matters • Safe and effective treatment options • Why you should not attempt to remove milia at home Dr. Dray also reviews when milia resolve on their own and when extraction by a trained professional may be appropriate. If you have small white bumps and are unsure what they are, this video will help you understand the possibilities and why evaluation can be important, especially if a lesion is growing, changing, bleeding, or painful. Suggested related videos: Epidermoid cysts https://youtu.be/BPjLYSKmQM4 Syringomas https://youtu.be/zwp5tPMY5Zw Sebaceous hype

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