Milia form when dead skin cells and keratin get trapped under the surface of the skin instead of shedding normally. Genetics, UV exposure, skin injury, and hormonal or metabolic changes can all contribute, but often there is no single clear cause.
Milia themselves are harmless and do not affect general health, but they can signal underlying issues like hormonal imbalance, metabolic problems, or chronic sun damage. The main risks are cosmetic distress, picking‑related scarring, and occasional secondary infection if lesions are manipulated.
The only reliable way to remove existing milia is physical removal by a professional, using sterile tools, laser, radiofrequency, or electrocoagulation. Creams, scrubs, and peels may help prevent new lesions but rarely clear fully formed cysts, so avoid squeezing them yourself and see a dermatologist or cosmetic specialist.