What are Milia?

Milia are small, white bumps that often appear around the eyes, across the nose, chin, or cheeks. While they are common in newborn babies, they can occur at any age. Milia occur when keratin becomes trapped under the surface of the skin. While these bumps are not itchy or painful, they may cause discomfort for some people. In older children and adults, milia are usually associated with some type of skin care product applied to the skin. In some cases, milia may also develop if the skin loses its ability to exfoliate, which can occur as a result of aging.

Types of Milia

There are also different types of milia, which are classified based on the age at which they occur or what is causing them to develop. These types of milia also fall into primary or secondary categories.

Primary milia develop from entrapped keratin, while secondary milia develop after something clogs the ducts leading to the skin’s surface, like following an injury, blistering, or burn.

Some different types of milia include:

Neonatal Milia: These develop in newborns and usually clears up within a few weeks. They usually occur on the face, scalp, and upper torso.

Primary Milia in Adults: These milia can be found around the eyelids, forehead, and on the genitalia. They may disappear in a few weeks or last for months. 

Milia en Plaque: This condition commonly occurs in people with genetic or autoimmune skin disorders, such as lichen planus or discoid lupus. These milia can affect the eyelids, cheeks, ears, or jaw.

Milia Treatment Options

In some cases, milia will clear up on their own within a few weeks. However, if removal is preferred, there are a number of treatment options that can eliminate them, some of them include:

Topical Retinoids: These creams contain vitamin A to help exfoliate the skin and lift off the milia.

Electrodesiccation:  This is the most frequently used treatment option for milia and destroys the sites with pinpoint precision.

Deroofing: Involves extracting the contents of the cyst with a sterile needle.

Chemical Peels: These peels cause the topmost layer of the skin to peel off, allowing new skin to replace the upper layers and sloughing of the milia.

Who is a Good Candidate for Milia Treatment?

Anyone who is bothered by milia can benefit from milia treatment. To determine which treatment option is best for you, contact our office today to schedule a consultation appointment with Dr. Beach.

What to Expect After Milia Treatment?

Following milia treatment, fewer milia are present. There is no downtime following milia treatment, and Dr. Beach will provide you with specific instructions on how to clean your treatment area for the best results.

Contact Us Today

If you would like to learn more about possible treatment of milia, contact our office today! We will inform you how to schedule your consultation at DermAtelier on Avenue with Dr. Beach, during which she will help to create your personalized treatment plan.



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