What is the treatment for Milia?

Question

Hello doctor.

I do not have acne, and my skin is clear, except for the microscopic bumps on my face, which keep me from having clear skin. It is on the highlighting parts of my face. T-zone, cheeks, nose, cupid's bow, and chin. Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I can understand your concern.

From the description and photographs (attachments have been removed to protect patient's privacy) provided, it seems you are having milia.

Milia are very common, benign, keratin-filled cysts that occur when dead skin cells get trapped under the skin's surface, forming small, hard cysts. Adults can get two forms of milia- primary and secondary.

Primary milia: It is caused by skin cells that build up because they just do not exfoliate properly.

Secondary milia: It is caused by skin conditions that damage the pore lining, like sun damage.

Do not squeeze, scrape, poke, or in any other way physically try to remove the milia from your face as you would a pimple. Because milia are hard and under the skin's surface, some people have even scarred themselves while trying to dig out milia, which is not better.
A hypodermic needle to remove the cyst, or cryotherapy, which involves freezing the cyst and then removing it, is the best option to treat your condition, and it should be done by a dermatologist.
You can also try topical application of Retino-A (Tretinoin) 0.025 % over milia during night hours daily for up to one month.
Protect yourself from the sun and use noncomedogenic sunscreen daily during morning hours.
Kindly consult a specialist, talk to them, and take the medications with their consent.

I hope this information will help you.

Thank you.