What works:
Lactic acid: A gentle alpha-hydroxy acid (AHA) derived from milk. It exfoliates while also supporting the skin barrier. Look for gentle, low-percentage serums (5-10%) and use 2-3 times weekly.
Mandelic acid: An AHA with larger molecules that work more slowly and gently—ideal for sensitive skin and the eye area.
Enzyme exfoliants: Pumpkin, papaya, or pineapple enzymes digest dead skin cells without any scrubbing.
What to avoid:
Physical scrubs with jagged particles (apricot kernel, walnut shell)
High-percentage glycolic acid near the eyes
Over-exfoliation, which damages the barrier and can worsen milia
2. Steam and Warm Compresses
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Salt
Bacon
Bread
Heat softens the keratin and encourages it to surface. Once weekly, after cleansing, apply a warm, damp compress to milia-prone areas for 5-10 minutes. Follow with gentle exfoliation. This is not a quick fix, but a supportive practice.
3. Retinoids (Natural and Otherwise)
Retinoids accelerate cellular turnover, helping skin shed dead cells before they can trap keratin.
Natural options:
Rosehip seed oil: Contains natural vitamin A (retinol) compounds. Apply a few drops nightly.
Sea buckthorn oil: Rich in carotenoids, which the body converts to vitamin A.
Over-the-counter options:
Adapalene (Differin): A gentle retinoid available without prescription.
Retinol serums: Start with low concentrations (0.25%-0.5%) and build tolerance.
Prescription options:
Tretinoin, under dermatologist supervision, is highly effective for persistent milia.
Important: Retinoids increase sun sensitivity. Use them only at night and always wear SPF during the day.
