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Baby acne and milia

Also called: Baby acne, newborn acne, milia

Small red bumps (baby acne) or tiny white bumps (milia) on a newborn's face. Both are common, harmless, and clear on their own.

TypeHarmless newborn skin
ClearsWithin weeks to a few months
TreatmentNone

Overview

Baby acne often appears at 2 to 4 weeks. Milia are tiny white bumps from trapped skin protein.

Baby acne looks like small red pimples on the cheeks and nose, often at 2 to 4 weeks old.

Milia are tiny white bumps from skin protein trapped under the surface.

Symptoms

Common signs:

  • Tiny pimples or white bumps on a newborn's face

Less common

  • Tiny white bumps on the nose

When to get medical care

Call 911A baby who is limp or not breathing normally.
Get care todayFever in a baby under 3 months.
See a doctor soonBumps lasting past 3 months or spreading.

Causes

Hormones and immature skin glands.

Does it spread or run in families?

  • It isn't contagious. You can't catch it from someone else.

Diagnosis

A healthcare professional can tell by looking.

The exam

A skin check.

Treatment

Gentle care is all that's needed.

Self-care

  • Wash with water and pat dry
  • Don't squeeze or scrub
  • Skip lotions and oils on the face
  • Don't use acne creams on babies

Prevention

To lower your risk or prevent problems:

  • Wash baby's face with water only

Which doctor treats this

  • Start with your child's pediatrician.
  • They may send you to a pediatric specialist: a dermatologist (skin doctor).

Back to school, work, or sports

  • Most children can go to daycare or school as usual.

Children, pregnancy, and older adults

  • Newborns: Milia show up in about half of babies.

For caregivers

  • Learn the warning signs and when to call the doctor or 911.
  • Keep a list of your child's medicines, doses, and doctors on your phone.
  • Tell teachers, coaches, and sitters what to watch for and what to do.
  • Take breaks and ask for help. Caregivers need care too.

Outlook

Clears on its own.

Both clear without scars.

Getting ready for your visit

Bring a list of your symptoms and medicines.

Questions to ask

  • Is this baby acne or a rash?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Baby acne and milia

Sources

Last updated 2026-11-12.