Milia vs. Acne: Understanding the Difference and How to Treat Them

Skincare Anarchy
3 min readApr 17, 2024

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By: Julianna Ancmon

Are you troubled by tiny white bumps on your skin that resemble acne but do not seem to go away? You might be dealing with milia, not acne. Understanding the difference between these two skin conditions is crucial for effective treatment and skincare.

What is Milia?

Milia, often referred to as “milk cysts,” are small, white bumps that form on the skin. Despite their resemblance to whiteheads, they are not acne. These bumps are tiny cysts caused by a protein called keratin trapped beneath the skin’s surface. Unlike acne, milia do not develop within pores and are not red or inflamed.

Types of Milias:

Milia can be categorized into diverse types, each with its own distinct characteristics and causes:

1. Primary Milia: These develop independently, without any specific cause.

2. Secondary Milia: Occur as a result of skin trauma, burns, or certain skin conditions that block ducts under the skin.

Common Types of Milia Include:

- Neonatal Milia: Common in newborn babies, typically appearing around the nose, face, scalp, or torso. They usually disappear within a few weeks of birth.

- Juvenile Milia: Associated with rare genetic disorders causing abnormal cell growth.

- Milia En Plaque: Linked to autoimmune skin disorders, characterized by larger milia appearing on the face.

- Multiple Eruptive Milia: A rare and aggressive form, often inflamed and can last for weeks or months.

Causes of Milia:

Various factors can contribute to the formation of milia, including:

- Trapped dead skin cells beneath the skin’s surface.

- Skin damage from injuries or sun exposure.

- Long-term use of steroid creams or ointments.

- Genetic conditions or autoimmune responses.

Treatment Options for Milia:

If you are concerned about the appearance of milia, several treatment options are available:

1. Topical Treatments: Over-the-counter gels containing ingredients like adapalene or prescribed creams like tretinoin can help.

2. Home Remedies: Gentle cleansing with warm water and mild soap can aid in clearing milia. For adults, exfoliating cosmetics with salicylic acid or retinoids may be beneficial.

3. Professional Removal: Dermatologists can perform procedures such as freezing, laser surgery, or dermabrasion to remove milia if they persist despite home treatments.

Understanding Acne:

In contrast to milia, acne is a common skin condition characterized by red, inflamed pimples, blackheads, and whiteheads. Acne occurs when hair follicles become clogged with oil and dead skin cells, leading to bacterial growth and inflammation.

Treatment for Acne:

Treatment for acne varies depending on its severity but may include topical creams, oral medications, or procedures such as chemical peels or laser therapy.

Conclusion:

While milia and acne may appear similar, they are distinct skin conditions with different causes and treatments. Understanding the differences between them is essential for effectively managing and treating your skin concerns. If you are unsure about any bumps or changes on your skin, consulting a dermatologist can provide personalized guidance and treatment options tailored to your needs. Remember, taking good care of your skin starts with understanding its unique needs and addressing any concerns promptly and appropriately.

Works Cited:

https://www.verywellhealth.com/description-of-millia-15572#:~:text=Milia%2C%20also%20known%20as%20%E2%80%9Cmilk,are%20not%20red%20or%20inflamed.

https://my.clevelandclinic.org/health/diseases/17868-milia

https://www.webmd.com/skin-problems-and-treatments/what-to-know-about-milia

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Skincare Anarchy
Skincare Anarchy

Written by Skincare Anarchy

“THE SKIN AUTHORITY” (CEW) Exclusive look into the beauty industry via interviews with entrepreneurs & industry professionals. https://lnk.bio/skinanarchy

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