###Human: Why are there white spots on cheeks of a 10-year-old? ###Assistant: Hello. The white colored papules are indeed milia. The others are comedones. Comedones are part of acne vulgaris. Comedian acne with milia. Milia, comedonal acne. 1. Adapalene gel 0.1 percent for local application once at night on comedones. 2. For milia, they require needle extirpation for removal. Sometimes they subside on their own in a few months.