Milia are small, white cysts that often appear on the skin and can be difficult to remove without causing damage. Most milia resolve on their own, but if they persist or become bothersome, several treatment options are available.
Professional Treatments:
- Manual Extraction: A dermatologist uses a sterile needle or blade to create a small opening in the skin and gently extracts the milia. This is the most effective and immediate method[2][1][6].
- Chemical Peels: Solutions containing glycolic or salicylic acid exfoliate the top layer of skin, helping remove milia and prevent future occurrences[2][3][7].
- Laser Ablation: A focused laser beam precisely targets and removes milia without damaging surrounding skin[2][3][4].
- Cryotherapy: Liquid nitrogen is applied to freeze and destroy the milia. This method is less common and may not be suitable for areas near the eyes due to the risk of irritation or pigment changes[2][3][4].
- Topical Retinoids: Prescription-strength creams like tretinoin promote skin cell turnover, helping prevent and treat milia. These should be used under medical supervision due to the risk of irritation[1][5][7].
- Oral Antibiotics: Medications such as minocycline may be prescribed for rare forms like milia en plaque[5][7][6].
- Curettage and Diathermy: Curettage involves scraping off milia, while diathermy uses heat to remove them. Both procedures are typically performed by dermatologists and may leave small scars[6].
At-Home Care and Prevention:
- Gentle Exfoliation: Use an exfoliating cleanser with salicylic, glycolic, or citric acid once a week to help prevent buildup[3][4][6].
- Retinol Products: Over-the-counter retinol can aid skin cell turnover and reduce the chance of milia forming[3].
- Do Not Pick or Squeeze: Avoid attempting to remove milia at home, as this can lead to infection or scarring[6].
- Sun Protection: Regular use of sunscreen helps protect the skin and reduce secondary milia development[3].
- Steaming: Occasionally steaming can help open pores, making mild milia easier to wipe away with a soft cloth[4].
If you have persistent, widespread, or bothersome milia, consult a dermatologist for safe and effective removal.
References
- [1] Milia Removal NYC – Debra Jaliman, MD
- [2] Milia Removal: Purpose, Preparation, Risks, and Results – Health
- [3] How to Get Rid of Milia Without Scarring Your Skin
- [4] Milia Removal: Understanding the Procedures & Concerns
- [5] How to Get Rid of Milia: 8 Ways – Verywell Health
- [6] How to get rid of milia: Treatment, prevention, and causes
- [7] Milia Removal Specialist | Mya Care
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