Senhime Akashi
2024.07.14
What Are Milia? Dr. Bianca Explains Causes, Treatment, and Prevention of Bumps Around the Eyes
With deep medical insight cultivated as an internal medicine specialist, I bridge aesthetic surgery, dermatology, and internal medicine. Having spent my childhood in China, I communicate fluently in Japanese, Chinese, English, and Korean. Possessing an international perspective—evidenced by invitations to present at overseas conferences—I actively promote techniques as a Key Opinion Leader (KOL) for GOURI and REJURAN®. My specialty procedures include double eyelid surgery, skin-nurturing boosters, and body hyaluronic acid treatments. My approach leverages the holistic understanding of the body cultivated through internal medicine to guide patients toward natural, healthy beauty.
Hello.
Dr. Hime of BIANCA CLINIC, also known as Senki Akashi.
Today, those white bumps that appear around the eyes—
I'll talk about milia.
BIANCA Akashi Senki, MD Profile
Spent childhood in China and is trilingual in Chinese, Korean, and Japanese. After graduating from Nagoya University School of Medicine, she specialized in internal medicine with a focus on diabetes and endocrinology, becoming a board-certified internist. Subsequently, she gained experience performing over 5,000 surgical procedures and injectable treatments at a major cosmetic surgery clinic, later serving as director of a clinic in central Tokyo. She specializes in eye area surgeries, particularly double eyelid suture procedures and dark circle treatments. Currently at BIANCA Clinic, he supports patients in achieving a naturally beautiful glow from the inside out, encompassing all aspects of cosmetic surgery, medical aesthetics, and cosmetic dermatology.
<Professional Affiliations and Qualifications>
・Japanese Society of Internal Medicine Board-Certified Internist
・Japanese Diabetes Society
・Japanese Society of Aesthetic Plastic Surgery
・Japanese Society of Anti-Aging Medicine
<Check out more information about Dr. Akashi Senki's Aesthetic Medicine here>
Dr. Akashi Senki's Instagram account isHere
The official Instagram account for BIANCA isHere
The official YouTube account for BIANCA isHere
What exactly is a milia?

A milium cyst is a type of benign skin condition known as a subcutaneous cyst.
Small white bumps about 1 to 2 mm in size appear mainly around the eyes and on the cheeks.
Inside the white specksKeratinIt is packed with protein and has a slightly firm texture when touched.
It resembles acne in appearance, but it is not inflammation of the pores; rather, it has a sac-like structure (cyst).
Similar symptoms include "sweat gland tumors" and "comedones (blackheads)".
Since it can be difficult to tell the difference, if you're concerned, don't self-diagnose—see a doctor for an examination.
Treatment for Milia

Adult milia rarely disappear on their own.
If you are concerned about the appearance, removal at a medical facilityis required.
Treatment methods include the following:
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Make a small opening with a needle or fine scalpel and squeeze out the contents.
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Cauterize using carbon dioxide lasers or electrosurgical units
Since only the very superficial layer of the skin is treated,Downtime is minimalThe redness will subside within a few days.
Start today! Milia treatment
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Cleansing and washing your faceDo not rub too hard
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Thoroughly implement UV protection measures,Protect the skin's barrier function
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Make sure to moisturize thoroughly,Stabilize turnovermake
By protecting and maintaining your skin in this way, you can create an environment where milia are less likely to recur.
Retinol is also excellent for preventing recurrence.
Even if you go through the trouble of getting treatment,Milia are prone to recurrence.That's the tricky part.
The fundamental cause is still unclear,impaired keratin metabolismis thought to be related.
That's why retinol (vitamin A) is gaining attention.
Retinol helps regulate skin turnover and prevents clogged pores and excess sebum.
Not for strong medical use,A mild product containing retinyl palmitateIncorporating it into your daily skincare routine alone can help prevent milia recurrence and maintain skin smoothness.
Depending on your skin condition, you may experience redness or irritation, so please consult your doctor before using it for the first time.
Summary: Achieve smooth, youthful-looking eyes with proper treatment and care.
Milia may appear to be a minor issue, but they are a skin condition that rarely resolves on its own.
The ideal approach is to reset the condition through treatment and then prevent recurrence with retinol and moisturizing care.
At Bianca Clinic, we treat milia.Comprehensive support from removal to preventive careI will do so.
If you're concerned about white bumps around your eyes, please feel free to consult us.