HomeAnswersDermatologymiliaI tried treatment for keratosis pilaris but with no improvement.

What is the treatment for milia and keratosis pilaris?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At October 2, 2022
Reviewed AtOctober 9, 2023

Patient's Query

Hello doctor,

I have had milia on my face, specifically under the eye, for the past two years and keratosis pilaris from birth. I underwent an allopathic treatment for keratosis pilaris, but nothing helped. Kindly help.

Hello,

Welcome to icliniq.com.

Thank you for your query. I reviewed your query. Milia under the eyes are due to excess sebum production leading to clogging of the pores under the eyes. They are harmless. Keratosis pilaris is the formation of thick dead cells, which are the superficial layer of the skin around the hair follicles present on the skin. The affected area must be softened, and consistent treatment is required to reduce its appearance. So I suggest you to follow the instructions mentioned below. Use Hydrocortisone (corticosteroids) 1 % cream, and apply a thin layer on the milia for ten days at night. But, this medication should be used cautiously under the eyes with a minimum quantity. The procedure for removal of milia is available in the form of radiofrequency, laser therapy, and manual extraction of milia, for which in-person consultation with a dermatologist is advised. In this case, the usage of this cream is not required since these procedure can remove them. Use AHA glow face wash. Apply and massage in gentle circular motions and wash your face within one minute. Use it twice daily. Apply Logifeel IMF cream (glycolic acid, lactic acid, and urea) daily in a thin layer to the affected areas. Use Oilatum soap (sodium palmate, sodium palm kernelate, paraffinum liquidium, glycerin, and geraniol) for bathing and cleaning the area. Oilatum emollient three caps in two liters of water to be used to wash the area and soften the area. Apply Novasoft cream (emollients) three to four times daily after bathing. It is to be applied while the skin is still damp to reduce the thickness of the area. Dermatologists execute chemical peeling and laser procedures to help reduce the appearance of keratosis pilaris. However, they may need direct consultation for undergoing the procedures, which are done in sessions once a month. Take capsule Omega 3 (omega-3 acid ethyl esters) once daily after food at night for one month. Take capsule Evion 400 mg (vitamin E) once daily after food at night for one month. These capsules help to moisturize and soften the skin, which helps reduce its appearance. Kindly consult a specialist, talk to them and take medications with their consent. Keratosis pilaris is a time-consuming condition to treat. Therefore, being consistent with the medications is advised for a longer duration to see changes since the keratotic plugs, which are thickened outer layer of the skin, develop over time, and reducing its thickness can take time. I hope this has helped you. Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sandhya Narayanan Kutty
Dr. Sandhya Narayanan Kutty

Venereology

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