Odd Facial Bumps

Normally, upon birth, these little bumps called milia appear on the face...I'm assuming that they are small, white and pearly looking!
They are caused by blocked oil glands. When the oil glands get bigger, the milia dissapear...BUT this also can happen in toddlers and children and even adults!
First I have to say, it's not acne but sebum (which is a oily substance in the hair follicle, produced by oil glands) and when mixed with dead skin cells, they become hard and white like a hard plug...not acne though that is normally red and inflamed due to bacteria.
I'm suprised that the doctor recommended hydrocortisone! That's mainly used for conditions like psoriasis on the face, allergic reactions, skin allergies, itching and inflammation! I've used it and my neice uses it because we have overly sensitive skin (red itchy welts) from allergic reactions! And I still get hard little white bumps, just like your daughter, and this only happens when I don't exfoliate my skin as often!
It could be that your daughters milia (or secondary milia) may be due to the fact that her hair folicles (oil glands or pores) may not be enlarged as much! When this happens it's easier for keratin (dead skin cells) to get trapped in with the oil and form these pearly white bumps!
As much as you may want it to go away, it really should eventually disappear!
But also, I would recommend that you take a warm face cloth, or rinse her face as warm as you can get...this will open the pores! Even maybe giving her a steam treatment (GENTLE ONE) with one of those little machines that won't hurt her or burn her!
After the pores are opened with the warm water...which you can also compress a warm facecloth on her face! This "melts" the sebum...which has been hardened and makes it easier to drain! But you also have to know that it's mixed with dead skin cells (keratin), which makes it "hard"!
After the warm compress or water, use a gentle soap like Johnson's and Johnson's, something soapless and gentle...Aveno also makes one for children and with a babies facecloth or even your fingers, gently slough of the dead skin cells on her face in a circular motion! You may feel like it's nor woking, or you might not feel the exfoliation, but it's working!
Just like adults need "exfoliate" their skin, which means sloughing of dead skin cells to reveal healthier skin, you do the same for you child but it a very gentle way!
Eventually, eventhough she is a little older, it will disappear on it's own but as far as I'm concerned...do a gentle exfoliation and I'm pretty sure this will work!
Like I said, they are hard bumps...it's almost like a blackhead but it's closed (called a closed comedone)...they are not angry red pimples that would mean that it's infected! Blackheads are almost the same but they're called open comedones...which means they're not under a thin layer of skin...they too are a mix of sebum and dead skin cells but they are open so they're exposed to the air! The reason why they're black is because the subum and dead skin cells mixture is exposed to the air! Then it oxidizes and turns black...it's actually not because of dirt!
In the end, those who get these small closed comedones of milia type bumps is because their skin doesn't slough of as fast as it should! Sloughing of dead skin cells slow down as you age that's why exfoliation is recommended for older people if they want to reveal young skin!
One more note, hydrocortisone are used for cases like psoriasis which is the oposite of milia...cell turnover is faster than it should be, that's why there's flaky dead skin cells with those people who have psoriasis!
I have a fascination with skin and how it works so I hope this is helpful and please, I'm new, but I hope there's a way to let me know if it works!
In the end...it will eventually go away! Maybe, just like a newborn, her pores have not enlarged yet which should happen soon or at a later age!
Remember, be gentle but with a mild soap, warm water (too open pores - which small pores is the culprit) and either a baby wash cloth (recommended for it's exfoliation action - but do this very lightly because your kid's skin is still delicate) or using your finger tips (which also warms the sebum and is more likely to drain) in a circular motion, give it time and it should work!
Much love!
xx

my daughter has this, and this over the counter cream (recommended by our derm) has helped. http://www.amlactin.com/kp.html

My daughter was diagnosed with keratosis pilaris when she was about 9 months old. She had small hard bumps on her cheeks, arms, and legs. Thankfully it got better as she got older. Now it's a lot less noticable. I don't know if it's what your daughter has, but it might be worth researching: http://en.wikipedia.org/wiki/Keratosis_pilaris

It sounds like milia to me. I have had these on and off my whole life. Sometimes they go away on their own, other times I've had them excised by a dermatologist (it is painless). The dermatologist just makes a little slit in the skin and removes the little hard ball inside, and then the whole thing goes away! I have also heard that there's a topical medication you can use, but I'm not sure if it makes them go away or if it prevents them from occurring. Some people are more prone to them than others, but they are harmless. Definitely see a dermatologist--he or she will know what to do right away!