Are the white bumps under my eye milia or syringoma? What is a safe way to get rid of it? (photo)

I often see syringomas in my practice, including patients who are Asian or African American.  

 

I use a combination of hyfrecation followed by selective fractional co2 laser to treat these patients and have found the program to be very efficacious. 

Your pictures suggest the presence of syringomas. These lesions tend to occur in the periorbital area and can be difficult to treat. Even when these lesions are treated successfully, they have a tendency to recur.A variety of treatments are available to treat this condition. Recently CO2 lasers have been shown to have value for treating this condition.If you have syringomas, it's important to consult a surgeon with experience in this area. This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.

It appears that you have syringomas on your eyelid. I have seen limited success with an erbium laser when attempting to remove them. They tend to recur as well. 

Hard to tell from these photos but both types of lesions can be treated with the .2mm cutting handpiece of the CO2 laser.  Sometimes it takes more than one session and each lesion has to be treated seperately. A 'micro-crater is created that heals rapidly in a few days.

It is hard to tell from the photos.I think the easiest thing to do would be to see a plastic surgeon and have a biopsy performed and then a decision can be made on what to do.