How to get rid of milia?

Treatment Options for Milia

The most effective treatment for milia is extraction by a dermatologist using a sterile needle or lancet, followed by gentle expression of the cystic contents. 1, 2, 3

What Are Milia?

Milia are small, benign, white or yellowish keratin-filled cysts that appear just beneath the epidermis. They typically present as:

• 1-4 mm white or pearly papules
• Most commonly found on the face, particularly around the eyes, cheeks, and nose
• Usually asymptomatic but cosmetically concerning

Treatment Approaches

First-Line Treatment: Professional Extraction

1. Dermatologist extraction
   • A sterile needle or lancet is used to create a tiny opening in the skin
   • The keratin contents are gently expressed
   • Quick, effective, and provides immediate results
   • Minimal risk of scarring when performed by a professional

Second-Line Treatments

1. Topical retinoids

   • Tretinoin cream (0.025-0.1%) applied once daily
   • Promotes cell turnover and helps expel the milia contents
   • Requires consistent use for 4-8 weeks
   • May cause temporary skin irritation, redness, or peeling 1

2. Chemical exfoliation

   • Alpha hydroxy acids (glycolic acid 8-10%)
   • Salicylic acid products (1-2%)
   • Apply as directed to affected areas
   • Gradually thins the overlying epidermis allowing milia to surface

3. Microdermabrasion

   • Professional procedure that removes the outer layer of skin
   • May require multiple sessions
   • Helps release trapped keratin from milia

For Multiple Eruptive Milia

For cases of multiple eruptive milia (MEM), which are rare but more extensive:

• Combination therapy with topical retinoids and professional extraction is often needed 2
• More aggressive treatment may be required due to the profuse nature of the condition

Special Considerations

Congenital Milia

• Usually resolve spontaneously within the first few months of life 4
• Intervention rarely needed unless persistent beyond 3 months

Secondary Milia

• May develop following blistering skin disorders, trauma, or certain medications 3, 5
• Treatment should address both the milia and underlying condition

Home Remedies to Avoid

• Do not attempt to pierce or squeeze milia at home

  • Increases risk of infection and scarring
  • May worsen inflammation

• Avoid harsh scrubs or abrasive exfoliants

  • Can damage skin and worsen appearance

Prevention Strategies

• Regular gentle exfoliation with appropriate products
• Consistent use of non-comedogenic skin care products
• Proper cleansing to prevent buildup of dead skin cells
• Sun protection to prevent skin damage that may contribute to milia formation

When to Seek Professional Help

• When milia are persistent despite home care
• If milia appear suddenly in large numbers
• When milia are associated with other skin conditions
• If there's any pain, redness, or signs of infection

Remember that while milia are benign, professional treatment provides the quickest and most effective resolution with minimal risk of scarring or infection.