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How can small white bumps on the cheeks be cured?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have small white bumps all over my cheeks and chin. It looks so bad like a rough skin texture and makes my skin discolorate so bad. It is not getting normal. I am using Nadoxin.

Please help.

Thank you.

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

It sounds like you are dealing with small white bumps and rough skin texture on your cheeks and chin, which could be related to a variety of skin conditions. These bumps may be caused by keratosis pilaris, closed comedones, or milia. However, I will provide some insights into possible causes and solutions to help you manage the situation.

Keratosis pilaris appear as small, white or flesh-colored bumps, often on the cheeks, chin, or arms. It is caused by a buildup of keratin (a protein in the skin) that blocks hair follicles. Use gentle exfoliants like Lactic acid or Salicylic acid. Exfoliating scrubs or creams that contain these ingredients can help. Closed comedones (Whiteheads) appear as small, white bumps or pimples that occur when pores are clogged with oil, dead skin cells, and bacteria. Use non-comedogenic skincare products. Consider salicylic acid-based treatments to clear pores. Milia appear as tiny, hard, white bumps that form when keratin gets trapped under the skin. While milia can resolve over time, gentle exfoliation and retinoid creams (like Retinol) can help speed up the process. However, milia may also need to be professionally extracted by a dermatologist if persistent. Skin texture and discoloration are damaged due to consistent picking or inflammation from acne and bumps can cause skin discoloration or dark spots, known as post-inflammatory hyperpigmentation (PIH). Use products containing vitamin C, niacinamide, or alpha arbutin to help brighten the skin. Sunscreen is essential to prevent further discoloration.

What you can do:

  1. Exfoliate Gently. Use products containing salicylic acid or lactic acid to gently exfoliate the skin and remove dead skin cells. You can try the ordinary Salicylic Acid 2% solution. Exfoliation will help clear blocked pores and improve the overall texture of your skin. Ensure you use a moisturizer suitable for your skin type to keep your skin hydrated and maintain its barrier.

  1. Look for products that are non-comedogenic and gentle. Use Retinoids (with caution). Retinoids can help improve skin texture, reduce bumps, and fade discoloration. Start with a mild retinol and use it two to three times a week.

  1. Always apply sunscreen in the morning when using retinoids, as they can make your skin more sensitive to the sun.

  1. Consult a Dermatologist. Since you are using Nadoxin (which contains Nadifloxacin, an antibiotic), it might not be fully addressing the texture issues.

A dermatologist can help determine the exact cause and recommend a personalized treatment plan. Mild chemical peels or laser treatments can be used to treat rough texture or pigmentation if needed.

Important Tips:

Avoid Picking. Picking or squeezing bumps can worsen inflammation and cause scars or discoloration.

Use Sunscreen Daily. Sun exposure can worsen skin discoloration, especially if you have PIH from past acne. Choose a broad-spectrum sunscreen (SPF 30 or higher). If your skin problems persist or worsen, a dermatologist's visit would be beneficial to properly diagnose and get the right treatment tailored for your skin. Let me know if you need any recommendations for specific products or further advice.

I hope this answers your query.

Thank you.

Medically reviewed byDr. K. Shobana

Published At May 26, 2025
Reviewed AtMay 30, 2025

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