White bumps under the eye are common and can cause concern. While generally harmless, their presence can sometimes indicate underlying conditions. Understanding the types of these bumps, their characteristics, and when medical attention is necessary can help individuals navigate this dermatological finding.
Common White Bumps Under the Eye
Milia are a common type of white bump under the eye. These small, firm, pearly cysts often resemble tiny pimples or whiteheads. Milia form when keratin, a protein found in skin and hair, becomes trapped beneath the skin’s surface. They are common in all ages, including newborns, and typically appear in clusters around the eyes, nose, and cheeks. Unlike acne, milia do not result from clogged pores with oil and bacteria.
Xanthelasma presents as yellowish-white, flat or slightly raised plaques. These growths commonly appear symmetrically on the inner corners of the upper and lower eyelids. Xanthelasma are deposits of cholesterol and other lipids that accumulate under the skin. While often benign, their presence can sometimes indicate elevated cholesterol levels or other lipid disorders, suggesting a medical evaluation.
Syringomas are small, typically flesh-colored or yellowish bumps. These benign tumors originate from sweat ducts in the outer layer of the skin. Although harmless, syringomas can cause itching, especially when sweating, and may be a cosmetic concern. They are often genetically predisposed and are more common in women, particularly between ages 25 and 40.
Sebaceous hyperplasia manifests as small, yellowish or whitish, donut-shaped bumps with a central indentation. These growths are enlarged oil glands that produce sebum, a natural oil that lubricates the skin. This condition commonly occurs in middle-aged or older individuals. Sebaceous hyperplasia is harmless and most frequently appears on the face, including the nose, cheeks, and forehead.
When to Consult a Healthcare Professional
While many white bumps under the eye are benign, certain signs warrant medical attention. Consult a healthcare provider if a bump changes in size, shape, color, or texture, or if it becomes painful, itchy, bleeds, or shows signs of inflammation. These changes could signal an underlying issue.
Interference with vision, even if minor, is another reason to seek medical advice. If a bump appears to be growing rapidly or looks abnormal, a professional assessment is crucial. A healthcare provider, such as a dermatologist or ophthalmologist, can accurately diagnose the type of bump and rule out more serious conditions.
Treatment and Removal Options
Treatment for white bumps under the eye varies by type and individual concerns. For many benign growths, such as milia or syringomas, no treatment is medically necessary, though many seek removal for cosmetic reasons. Professional removal techniques are available.
Milia Treatment
Milia can be treated through extraction with a sterilized needle, cryotherapy, or laser ablation.
Xanthelasma Treatment
For xanthelasma, options include laser removal, surgical excision, chemical peels, and cryotherapy; recurrence is possible. Managing underlying cholesterol levels can also help prevent xanthelasma recurrence.
Syringomas Treatment
Syringomas may be treated with laser removal, electrocautery, or surgical excision. Dermabrasion is another option to reduce their appearance.
Sebaceous Hyperplasia Treatment
Sebaceous hyperplasia can be managed with electrocautery, laser therapy, or cryotherapy. Topical treatments like retinoids or chemical peels may also help.
Consult a dermatologist or ophthalmologist to determine the most appropriate and safe treatment, especially given the delicate skin around the eyes.