Milia is a cluster of milium cysts that are often found around the eyes, cheeks, and nose. A milium cyst is a small, white bump. These can occur in people of all genders, skin types, and ethnicities, but primarily in babies. It is often referred to as baby acne. Milia are small cysts made of keratin that is trapped underneath the surface of the skin. Keratin is a protein in the hair and nails. It can feel firm and rough when built-up underneath the skin. At Essential Dermatology, we offer milia removal through our Aesthetician Services in Natick to help people from Wellesley, Weston, Wayland, and Framingham, MA, have clear, smooth skin again.
What Causes Milia?
The cause is unknown as to why infants get milia. When this skin condition occurs in children and adults it is often due to skin damage caused by burns. These types of injuries compromise the skin’s natural exfoliation process which allows for milia to form. Some skincare procedures may also cause milia.
Symptoms of Milia
- Small bumps
- Colored white
- Textured or raised
- Hard to remove
Can Milia Be Removed?
Most of the time milia goes away on its own within a few weeks. If it becomes persistent and bothersome, talk to Essential Dermatology about how to get treatment. Typically milia are removed during a steam facial treatment; a small needle and extractor will be used to remove the contents of the cysts. This allows the skin to heal. Avoid trying to remove the milia on your own as this can cause scarring.
Milia FAQs
Is milia just a cosmetic concern?
Yes. As bothersome as these keratin-filled bumps may be, they are harmless. True milia do not cause pain nor are they associated with irritation. Unlike other common skin concerns (such as skin tags), most do not rub up against fabrics, jewelry, or skin folds.
Do milia typically develop in clusters?
While you may notice one bump here or there, these cysts often appear in groups. There are also certain types of milia characterized by such clusters. For instance, milia en plaque clusters appear as a raised, red-hued patch. Multiple eruptive milia is also defined by groups of cysts that cluster together and may itch.
Can I prevent milia?
You can reduce your risk of developing milia as you get older. Good skincare and sun protection are essential. Always apply and reapply sunscreen as needed, even on overcast or cloudy days. Do not tan (unless it’s the “sunless” variety) and avoid prolonged, direct sun exposure. By frequently exfoliating your skin, you also help to shed the old, dead skin cells. It’s these old skin cells that can harden and become milia.
What happens if I attempt to squeeze milia?
Attempting to pop or remove milia on your own is strongly discouraged. When milia are not properly extracted, you can develop noticeable scarring, bacterial infections, or cause the milia to spread or become inflamed.
What factors do you consider before recommending treatment?
There are many potential treatment options for milia. Some of the factors that we consider when recommending the most appropriate treatments for you include:
- Type of milia (primary or secondary to trauma, skincare products)
- Areas where milia are located
- The number of milia
- Skin tone, skin type, and other personal characteristics
Can I pass milia on to someone else?
No. Milia and other cysts are not contagious. Unlike contagious skin conditions (like warts, athlete’s foot, or chickenpox), milia are not caused by bacteria, viruses, fungi, and other germs that are transmissible from one person to the next.
Do I need to prepare for professional extraction?
Preparation is minimal. We may ask that you discontinue using certain harsh or potent products, such as retinoids and aggressive exfoliants or scrubs. We may also ask that you stop taking certain supplements or medications before your appointment, because some can increase your risk of adverse reactions like pinpoint bleeding. Lastly, we may prescribe antiviral medication if you have a history of cold sores. This medication can prevent the risk of outbreaks. Such precautions may apply to other milia treatments available at Essential Dermatology, too, such as microdermabrasion and chemical peels.
What will my skin look like after treatment?
There are nuances among treatment types as well as patients. In general, your skin may look redder than usual. It may be swollen and resemble a sunburn. As the damaged skin is shed, you may notice flaking, pinpoint crusting (scabs), and discoloration. These effects go away as your skin heals. By following the instructions provided by our team, your comfort and healing are supported post-treatment.
Schedule a Consultation
Milia is frustrating to deal with. It can be hard to get rid of and make you feel self-conscious. Come into Essential Dermatology to get an effective treatment plan started for your milia. Call our office at (508) 545-9713 or book an appointment with our aesthetician for treatment.
