From the Research
The recommended treatment for milia includes gentle exfoliation, topical retinoids, or professional extraction, with a focus on promoting cell turnover and preventing buildup, as supported by recent studies 1. When considering treatment options for milia, it's essential to prioritize methods that promote skin cell turnover and prevent keratin buildup.
- Gentle exfoliation with products containing salicylic acid or glycolic acid can help remove dead skin cells and contribute to milia formation prevention.
- Topical retinoids like tretinoin (0.025-0.05%) applied nightly can promote cell turnover and gradually eliminate milia over several weeks.
- Professional extraction by a dermatologist is most effective for immediate results, using a sterile needle or blade to create a tiny opening before expressing the keratin-filled cyst. Milia often resolve on their own, particularly in infants, so watchful waiting is sometimes appropriate, as noted in various studies, including 2 and 3. However, for persistent or widespread milia, procedures like dermabrasion, chemical peels, or microdermabrasion may be recommended by a dermatologist, with erbium:YAG laser ablation being a viable option for periocular milia, as demonstrated in 1. It's crucial to avoid picking or attempting to squeeze milia at home, as this can lead to scarring or infection, and instead, opt for evidence-based treatments that prioritize skin health and minimize risks, as discussed in 4 and 5.