In the first days of life, a milium may form on the face or mucous membrane of the oral cavity – small pearl-white papules (nodules) with a diameter of 1-2 mm. In another way they are called “white eels”: since there is no inflammatory process, there is no redness.
Usually milia appears on the face around the eyes, on the cheeks, nose and temples. These rashes do not require treatment and pass in 1,5−2 weeks, when the sebaceous glands and their ducts begin to work smoothly. On the 14-28th day, the baby may develop a rash in the form of red pimples with a white head (acne).
In another way, these rashes are also called hormonal acne of newborns. Pimples usually appear on the face, scalp, and less often on the upper third of the back and chest.
They usually also do not fester and pass by themselves by 2−3 months.
The main reason for the occurrence of both milia and acne is the same: a hormonal surge: the baby’s body, including skin, gradually adapts to the new conditions of life. Another reason: the sebaceous gland ducts are not yet fully formed. And since under the influence of male sex hormones (own and inherited by the child from the mother), the production of sebum in the first weeks of life increases, its surplus does not have time to go out.
As a result, the pores are “walled up”. So milia is formed.
In parallel with the hormonal adjustment, another important process is underway – colonization of the skin by yeast-like fungi, which are an integral part of its normal microflora. However, at first, while the protective mechanisms are not working at full capacity, these microorganisms, as well as foreign bacteria from the external environment, can get into the blocked pore and cause inflammation.
Then acne may appear on the baby’s skin. And although in both cases, doctors prefer to take a wait-and-see tactic, sometimes, to suppress the growth of fungi, a pediatrician or dermatologist can prescribe an antifungal cream with ketoconazole.
To keep your baby’s skin healthy, you need to properly care for her.
If crumbs have acne, in the morning you should wash your face with boiled water rather than wipe with a cotton swab. It is also useful to arrange herbal baths 2−3 times a week. A series, chamomile, calendula, celandine, plantain, mint will do: they have an anti-inflammatory and soothing effect.
Preparing the broth is very simple: you need to pour about 3 tbsp. l herbs with one liter of boiling water and let stand for an hour. But you should not get involved in such trays, because they have a drying effect. Soap is undesirable to use up to 6 months: it upsets the pH level and makes the already vulnerable infant skin even more defenseless.
Up to this point, it is better to use specialized bath products for babies with a neutral pH.