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Maltese Care Guide
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Maltese Care Guide

The Maltese: Two Thousand Years of White Silk and Big Personality Few dogs carry the weight of history the way the Maltese does. Archaeological evidence and ancient writings place this breed in Medite

17 min readUpdated September 9, 2026
Reviewed Sep 2026
By ·Updated
Fact-checked against the sources listed on this page, including American Kennel Club, The Royal Kennel Club, VCA Animal Hospitals, ASPCA, Merck Veterinary Manual, The Canadian Veterinary Journal, Journal of Veterinary Internal Medicine, Journal of Small Animal Practice, Cornell University College of Veterinary Medicine. Not individually reviewed by a veterinarian. Editorial standards
This article is for general information only. Always consult your veterinarian for medical decisions about your pet.

Reading Time

📖 17 min read

Guide Type

🐾 Breed-Specific

Last Updated

📅 Sep 9, 2026

Overview

The Maltese: Two Thousand Years of White Silk and Big Personality

Few dogs carry the weight of history the way the Maltese does. Archaeological evidence and ancient writings place this breed in Mediterranean culture more than 2,000 years ago -- depicted in Greek pottery, praised by Roman aristocrats, and treasured by royalty across centuries. What has remained constant through all of that time is the unmistakable silhouette: a small, compact dog draped in a flowing white coat that seems almost architectural in its perfection.

The AKC standard puts the Maltese under 7 pounds, with 4 to 6 pounds preferred, placing it firmly in the toy group. But do not let the size fool you. This is a dog with a personality several times larger than its frame. Maltese are alert, curious, and genuinely bold -- they will not hesitate to challenge a much larger dog if they feel their territory is threatened. That confidence is one of the breed's defining traits and part of what made them such valued companions for centuries of nobility who wanted small dogs that still behaved like real dogs.

The Coat: Hair, Not Fur

The coat itself is the most misunderstood thing about the breed, and the usual explanation — that a Maltese grows hair rather than fur — is not what the standards say. The AKC's standard is precise: the coat is single, that is, without undercoat, hanging long, flat and silky over the sides of the body. The Royal Kennel Club says the same, silky and never woolly, without a woolly undercoat. That is the real difference: no undercoat to blow out seasonally, and a long growth phase that means trimming rather than shedding. It is often taken as a promise about allergies, but canine allergens live in dander and saliva rather than in coat type, and no dog is truly hypoallergenic.

That white coat comes with a maintenance cost. Without daily combing, the hair mats quickly, especially behind the ears, in the armpits, and around the collar. Pet owners who keep their Maltese in a short "puppy" cut visit the groomer every six to eight weeks and brush two to three times per week. Show dogs maintained in full coat require daily attention from an experienced handler. The show grooming culture around the Maltese is genuinely competitive -- maintaining a floor-length, parted coat on a moving 5-pound dog is considered one of the more technically demanding grooming disciplines in the sport.

Tear Staining: The Most Asked-About Maltese Topic

Tear staining is the thing owners ask about most. The reddish-brown discoloration that appears beneath the eyes is caused by porphyrins -- iron-containing compounds found in tears, saliva, and urine that oxidize to a rust color when exposed to air and light. On a white coat, the staining is highly visible and cosmetically significant for show dogs.

Staining is influenced by genetics (some lines stain more than others), diet, water mineral content, blocked tear ducts, and minor eye irritation from incoming coat hairs. Management involves keeping the face clean and dry, using stainless steel or ceramic bowls instead of plastic, and addressing any underlying eye issues with a veterinarian. Antibiotic treatments marketed for staining are not the answer: VCA's guidance states that low doses of some antibiotics are no longer recommended, because of the risk of driving bacterial antibiotic resistance. That is a poor trade for a cosmetic problem.

Temperament and Lifespan

The Maltese is an engaged, people-oriented dog that bonds tightly to its household. They do well in apartments, adapt readily to urban living, and thrive with owners who want a constant companion. The flip side is that they can develop separation anxiety when left alone for extended periods, and they are prone to the "small dog syndrome" behaviors -- excessive barking, resource guarding, and pushiness -- that emerge when owners over-accommodate because of the dog's size.

With proper veterinary care and good genetics, a Maltese typically lives 12 to 15 years. This is one of the longer-lived toy breeds, which makes the investment in early health screening and dental care pay dividends across a long relationship.

Is the Maltese Right for You?

The Maltese suits owners who want an engaged, alert companion dog that travels well, adapts to smaller living spaces, and does not leave fur on every surface. The coat requires real commitment regardless of whether you maintain a show cut or a pet trim. Dental care is not optional -- it is the single most important health intervention for this breed. And anyone expecting a placid, easy-going lap dog may be surprised by how much attitude comes in this small package.

Daily Care

Daily Care for Your Maltese

Morning Routine

Start each day by checking the face. The fine hair around a Maltese face attracts discharge and debris overnight. Use a damp cloth or dedicated eye wipe to clean beneath the eyes before the day begins. This is also when you should run a fine-toothed comb through the coat, paying particular attention to the areas behind the ears and under the legs where mats form fastest. A detangling spray helps on days when the coat feels resistant.

Coat Maintenance Schedule

Pet-cut Maltese (kept at 1 to 2 inches) require brushing two to three times per week minimum. Full-coat Maltese require daily brushing and combing, with particular attention to the part that runs from nose to tail. If you encounter a mat, work it out with a detangling spray and your fingers before using a comb -- never rip through matting with a brush, as this damages the coat and can injure the skin underneath.

Bathing frequency depends on the individual dog's lifestyle and coat length. Most pet-cut Maltese do well with a bath every two to three weeks. Show dogs are bathed more frequently.

Face Drying Is Non-Negotiable

After every bath, meal, or water session, dry the Maltese face thoroughly. The stain itself comes from porphyrin in the tears rather than from the damp, but a face left wet stays irritated and keeps the hair matted against the skin. Use a soft cloth or a low-heat blow dryer on a pet-safe setting.

Hypoglycemia Watch (Puppies and Small Adults)

Maltese puppies under 6 months and adults under 4 pounds are at real risk of hypoglycemia -- dangerously low blood sugar. Signs include lethargy, disorientation, trembling, and in severe cases, collapse. Feed small Maltese puppies three to four small meals per day on a strict schedule. Keep a small amount of honey or corn syrup on hand for emergencies -- rubbed on the gums, it can stabilize a hypoglycemic puppy while you get to the vet. Any puppy showing signs of hypoglycemia requires veterinary attention promptly.

Nutrition

Feeding Your Maltese

Caloric Needs and Meal Frequency

A healthy adult Maltese at 5 to 7 pounds typically requires 150 to 250 calories per day, though activity level, age, and whether the dog is spayed or neutered all affect this number. On a ration that small, an extra treat is a large proportion of the day's calories, which is why weight creeps up on toy breeds so quickly.

Feed adults twice daily on a consistent schedule. Puppies under 6 months should eat three to four small meals per day to prevent hypoglycemia. Free-feeding (leaving food out all day) is not recommended -- it makes it impossible to monitor how much the dog is actually eating and obscures early signs of illness.

What to Feed

High-quality commercial kibble formulated for toy breeds is the starting point for most Maltese owners. Toy breed formulas use smaller kibble sizes appropriate for a small jaw and are typically calorie-dense. Look for a named protein (chicken, salmon, turkey) as the first ingredient and avoid formulas heavy in corn or wheat as primary fillers.

Wet food can supplement dry kibble or serve as the primary diet -- it helps with hydration and is easier for dogs with dental issues. If feeding wet food primarily, dental hygiene becomes even more critical since the food does not provide any mechanical cleaning.

Foods to Avoid

The usual canine hazards apply -- grapes, raisins, xylitol (found in sugar-free products), chocolate, onions, garlic, and macadamia nuts are all toxic. For Maltese specifically, watch high-mineral water. Switching from tap to filtered water is a common suggestion for tear staining, but we could not find a source establishing that water minerals affect porphyrin production, so treat it as an experiment rather than a fix.

Dental Nutrition

Given the breed's extreme susceptibility to periodontal disease, nutrition intersects with dental health in meaningful ways. Dental chews designed for toy breeds provide mechanical cleaning between brushings. Hard kibble is marginally better for dental health than wet food. Some veterinarians recommend a therapeutic dental diet for a Maltese with established dental disease; the Veterinary Oral Health Council seal is the check that a product has actually demonstrated dental efficacy.

Exercise

Exercise Needs for the Maltese

Right-Sizing Exercise Expectations

The Maltese is not a high-energy working dog. This breed was developed to be a companion, and its exercise needs reflect that heritage. Most adult Maltese do well with 20 to 30 minutes of intentional activity per day -- typically one or two short walks combined with indoor play. That said, "low energy" does not mean "no exercise". Without consistent daily movement, Maltese become bored, vocal, and may channel unused energy into destructive behaviors.

Walk Length and Terrain

Keep individual walks short -- 10 to 15 minutes is appropriate for most adults, especially in warm weather. A Maltese walking on a hot sidewalk is at real risk of paw pad burns and overheating. In summer, walk during early morning or evening hours. In winter, a coat is not vanity -- the Maltese has no undercoat and genuinely gets cold in temperatures below 45 degrees Fahrenheit.

Be cautious on rough terrain. The Maltese has small, delicate feet and a lightweight frame. Hiking trails with sharp rocks or steep grades are not appropriate without protective booties.

Indoor Play

A significant portion of a Maltese exercise budget can be spent indoors. Fetch in a hallway, tug with a soft rope toy, and hide-and-seek games all engage the dog mentally and physically without the hazards of outdoor environments. Puzzle feeders and sniff mats provide mental stimulation on days when outdoor exercise is limited by weather.

Patellar Luxation Awareness

Maltese have elevated rates of patellar luxation -- a condition where the kneecap slips out of its normal position. Watch for occasional "skipping" -- a gait in which the dog holds a back leg up for a few steps, then returns to normal. This is the classic patellar luxation presentation. It can range from mild and manageable to severe enough to require surgery. Avoid activities that require sharp pivoting or jumping from height. Do not allow a Maltese to repeatedly jump off furniture -- use a pet ramp or steps.

Grooming

Grooming the Maltese

The Two Coat Lengths

Owners make a fundamental choice early in a Maltese relationship: show coat or pet cut. Show coat means maintaining the natural, long, silky hair that can reach the floor at maturity. Pet cut means keeping the coat trimmed to a length that requires significantly less daily attention. Most companion owners choose a pet cut, typically 1 to 2 inches, trimmed every six to eight weeks by a professional groomer.

Neither choice is wrong. The show coat is genuinely beautiful but requires daily combing, wrapping in protective papers for sleeping, and extensive knowledge of coat care techniques. The pet cut is practical, still charming, and allows the dog to move freely without coat interference.

Brushing and Combing Technique

Always use a pin brush or slicker brush, followed by a fine-toothed comb to check for any mats the brush missed. Work in sections from the skin outward -- do not brush only the surface layer. Mats that form against the skin are painful and, once tight, require professional removal or careful cutting. Apply a light detangling spray before brushing to reduce breakage and static.

Bathing Protocol

Bathe every two to three weeks for a pet-cut dog, more often for a show coat. Use a shampoo formulated for white coats or for sensitive skin -- harsh shampoos strip the natural oils and can cause dryness and flaking. Follow with a conditioner designed for silk or fine dog coats. Rinse thoroughly -- residue left in the coat attracts dirt and can cause skin irritation.

Dry completely with a low-heat blow dryer while combing. Air drying is inadequate for a Maltese coat and leaves the dog cold and damp in skin folds.

Nail, Ear, and Dental Care

Nails should be trimmed every three to four weeks. Ears should be checked weekly for redness or odor. The AKC standard describes drop ears, rather low set and heavily feathered with long hair that hangs close to the head, so check them properly rather than assuming an upright-eared dog's odds. Hair growing inside the canal can also trap debris — a groomer or veterinarian can remove this carefully.

Dental care is the most important grooming task for this breed. Brush teeth with a dog-safe enzymatic toothpaste at minimum three times per week. Daily is better. Professional dental cleanings under anesthesia are typically needed annually by age three.

Health

Maltese Health: What Every Owner Needs to Know

Periodontal Disease

Dental disease is the problem to plan for. Cornell's Riney Canine Health Center puts some component of periodontal disease in 80 to 90 percent of dogs over the age of three, and a VetCompass study of 22,333 UK dogs found the odds falling steadily as adult bodyweight rises — which puts a five-pound dog at the wrong end of that gradient. Small jaws and crowded teeth are the usual explanation, but the data establish the association rather than the mechanism. Periodontal disease is also linked with damage to the heart, kidneys and liver, though that link is an association in the literature rather than a demonstrated chain of cause.

The intervention is unglamorous but essential: daily toothbrushing, appropriate dental chews, and annual professional cleanings. Starting in puppyhood, before there is anything to treat, is far easier than starting at five when disease is already established.

Patellar Luxation

The kneecap (patella) in Maltese is prone to slipping out of its groove -- a condition graded from 1 (occasional slipping that self-corrects) to 4 (permanently displaced, requires surgery). Grade 1 and 2 are managed with weight control and limited jumping. Grade 3 and 4 typically require surgical correction. Purchase from breeders who screen breeding dogs for patellar luxation.

White Dog Shaker Syndrome

Generalized Tremor Syndrome (GTS), informally called White Dog Shaker Syndrome, causes full-body shaking similar in appearance to a dog that is cold or fearful -- except it is a neurological condition affecting the central nervous system. It occurs disproportionately in small white breeds. Onset is typically in young adults between 1 and 3 years. The cause is not fully understood but is believed to involve an immune-mediated process. The good news: most dogs respond well to corticosteroid treatment. If your Maltese develops unexplained tremors that persist beyond a few minutes, see a veterinarian.

Hypoglycemia

Blood sugar crashes are a genuine emergency in very small Maltese, especially puppies. Symptoms include sudden weakness, glassy eyes, disorientation, and muscle twitching. If caught early, rubbing corn syrup or honey on the gums provides immediate glucose. Any puppy or very small adult showing these signs needs veterinary evaluation to rule out underlying causes beyond normal small-dog metabolism.

Finding a Responsible Breeder

Reputable Maltese breeders screen for patellar luxation and cardiac health. Ask for documentation. Avoid breeders who claim their dogs are "teacup" size -- this is a marketing term for undersized dogs that carry elevated health risks.

Costs

The Cost of Owning a Maltese

Purchase Price and Adoption

A Maltese from a health-testing breeder in the United States typically costs between $1,500 and $3,500. Show-line dogs from proven pedigrees command more. Rescue organizations and breed-specific rescues occasionally have Maltese available for $200 to $500 in adoption fees -- these dogs are often adults, which means the expensive puppy phase is already behind you.

Annual Veterinary Costs

Budget $400 to $700 per year for routine veterinary care including annual exams, vaccines, heartworm prevention, and flea and tick prevention. Dental cleanings are the significant add-on for this breed -- professional cleanings under anesthesia run $300 to $800 depending on the level of disease and geographic location. Budget for at least one cleaning per year by age three.

Grooming

Professional grooming every six to eight weeks runs $50 to $90 per session for a pet cut on a Maltese, or $480 to $720 annually at the high end. Owners who learn to do basic maintenance between appointments can reduce this. At-home grooming equipment (pin brush, fine comb, detangling spray, shampoo, nail clippers) runs $80 to $150 upfront.

Food

Monthly food costs for a Maltese on quality kibble run $30 to $60, or $360 to $720 annually. Dental chews add another $15 to $30 per month.

Health Emergencies

Patellar luxation surgery, if needed, costs $1,500 to $4,000 per leg. Hypoglycemia treatment ranges from minimal if caught early to several hundred dollars for an emergency visit. Pet insurance purchased in puppyhood (before conditions are diagnosed) costs $25 to $50 per month for a toy breed and can significantly reduce out-of-pocket costs for unexpected events.

Total First-Year Estimate

Including purchase price, setup costs, and first-year veterinary and grooming expenses, expect $3,500 to $6,500 in the first year. Subsequent years typically run $2,000 to $3,500 depending on dental and health needs.

Frequently Asked Questions

Why does my Maltese have rust-coloured stains under the eyes, and will a tear-stain supplement remove them?

VCA Animal Hospitals explains the colour comes from porphyrin, an iron-containing pigment the body excretes in tears when it breaks down red blood cells; it simply shows up on white hair. VCA advises keeping the area clean and dry, trimming the hair around the eyes, and having a vet rule out blocked ducts or eyelash problems. It also warns that low-dose antibiotics are no longer recommended, because of resistance risk.

My two-year-old Maltese has started trembling all over indoors. Is she just cold?

Possibly, but shaker syndrome belongs on the list. VCA Animal Hospitals names the Maltese among the small white dogs it most often affects, with tremors starting in early adulthood at one to two years and worsening with excitement and exercise. It is a diagnosis of exclusion, so your vet rules other causes out first. VCA calls the outlook excellent, with most dogs fully resolved within one to two weeks of starting prescribed steroid treatment.

My Maltese puppy went floppy and glassy-eyed a few hours after playing. What is that?

Treat it as a possible blood-sugar crash and phone your vet. A Canadian Veterinary Journal review defines canine hypoglycemia as a blood glucose of 3.3 mmol/L or below, and notes that small juveniles, especially toy and miniature breeds, are at increased risk because of their low body mass index. Signs listed include weakness, tremors, ataxia, collapse and seizures. The review says owners can rub corn syrup or honey on the mouth tissues on the way in.

My vet heard a continuous murmur in my Maltese puppy. How serious is a patent ductus arteriosus?

Serious, but very treatable. VCA Animal Hospitals says a patent ductus arteriosus is usually caught as a continuous murmur at a routine puppy exam, that the Maltese is among the reported breeds, and that it runs in families, so affected dogs should not be bred. In a 520-dog series published in the Journal of Veterinary Internal Medicine, Maltese accounted for 4.4 percent of cases, and closure lifted median survival from two years to twelve.

My Maltese hardly sheds, so why does the coat mat within a day?

Because low shedding and low maintenance are different things. The American Kennel Club breed standard describes the Maltese coat as single, that is, without undercoat, hanging long, flat and silky over the sides of the body almost to the ground. The Royal Kennel Club standard likewise specifies a silky coat with no woolly undercoat. Hair that keeps growing instead of dropping out has to be combed down to the skin rather than skimmed across the top.

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