Can I get milia removed without scar?

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Milia are a white material containing papule type lesions that mainly presents over the face. Milia are due to sun exposure. Long term sunlight exposure cause sweating and mild sunlight reaction and in turn form milia. If you notice the area, then you will come to know it is always present over sun exposed part only like face, hand, neck and forehead. For further prevention, use proper sunscreen with 50 SPF (sun protection factor). Sunscreen should be applied in daylight before going outside twice or thrice in a day. I want to make you sure that after removal of milia no marks will be left. I do it on a daily basis and almost every day. It should be extracted by small needle and it is not a time taking, painful or complicated procedure. Milia is very superficial lesion so even if it is removed manually by needle or extractor they do not leave any scar or marks. So, you can go for it without any anxiety or anxiousness. It is completely a very superficial procedure. To make you more comfortable, I would like to tell you that scar always comes when something happening deep to the skin like any injury or severe acne. But, milia are so superficial.

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Yes, this is the normal process of healing and the scab will go off in a week without leaving any scar or marks. If your doctor have not prescribed any cream, then do not apply anything. But, I do give antibacterial cream. Although it is very subjective, a few doctors give. Do not try to remove it on your own or while washing the face. Try to avoid the area where you have a scab while washing. I think, when everything has been done properly and no scar or marks would come.

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There are two things to look now:

1. Are you sure that it is milia?
2. Was extraction done properly?

Milia is simply a very small papule or pimple type, which contains whitish material and is always present over the face, around the eye, photos exposed part. It usually never comes back after extraction. Now, if extraction is not done properly and the material remained in milia, then it will reappear. So, I think the full material was not extracted. But, another possibility also there called as molluscum. Yes, molluscum also looks like milia. It also contains whitish material. It will come on the face and cannot get removed very easily. It is highly recurrent. Consult your dermatologist and confirm whether it is milia or molluscum. Also, you can send me photos. It should be clear and focusing your milia part.

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Do not worry. You have to follow the procedure again as there may be a little material remained in. Just get it removed by the same procedure. I think you should go to the same doctor and get removed completely. Because, the procedure is the same and there is always a little chance of error.

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Well, I was concerned about that previously also that whether you really have milia or something else. It would be very helpful if you can send the photos of that. Your dermatologist told that it is not milia, but some cyst. I think that may be sebaceous cyst. The problem is cyst and milia are totally different things and looks very different. The sebaceous cyst does not have a mouth or whitish material as I hope your doctor said sebaceous cyst only. If it is sebaceous cyst, then you have to wait for three to five month and watch its size. If the size is not reducing or increasing, then you can get it removed by a surgeon and not a dermatologist. Because, dermatologist can remove it, but will not be able do it esthetically. But, a trained surgeon will minimize the scar and stitch marks in a better way.

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