The white bumps on your face that won't pop are most commonly known as milia. These are small, firm bumps that typically do not have a head like a pimple and cannot be squeezed out.
What Are Milia?
Milia are tiny, keratin-filled cysts that form just under the surface of the skin. Unlike acne spots or pimples, they are not caused by clogged pores in the same way and are not inflamed.
Key Characteristics of Milia
- Appearance: They are usually very small, appearing as white or flesh-coloured bumps. They feel firm to the touch.
- Texture: Milia have a distinct appearance compared to pimples or other spots; they lack a visible "head" (like a whitehead or blackhead).
- Non-Poppable: Due to their structure, milia cannot be squeezed or popped like a regular spot. Attempting to do so is often ineffective and can potentially cause skin irritation or damage.
- Comfort: Generally, milia are not red or inflamed, with rare exceptions (such as milia en plaque, which presents as a red, swollen patch of milia). They should not cause discomfort or pain.
Milia vs. Pimples: A Comparison
Understanding the differences between milia and common pimples can help identify the bumps on your face:
| Feature | Milia | Pimple/Spot |
|---|---|---|
| Appearance | Very small, white or flesh-coloured, firm bump | Varies (red, pus-filled, blackhead, whitehead) |
| Head | No visible head | Often has a visible head (white, black, or pus) |
| Popping | Cannot be squeezed or popped | Can often be squeezed (though not recommended) |
| Inflammation | Generally not red or inflamed (except milia en plaque) | Often red and inflamed |
| Pain/Discomfort | Should not feel uncomfortable or painful | Can be painful, tender, or itchy |
| Cause | Trapped keratin under the skin | Clogged pores with oil, dead skin cells, bacteria |
Managing Milia
Since milia are not typical breakouts, standard acne treatments often don't work on them. Because they are generally harmless and do not cause pain or discomfort, treatment is often sought for cosmetic reasons. It is advisable to consult with a dermatologist or skin care professional for appropriate removal methods, as attempting to extract them yourself can lead to skin damage or scarring.
