Advanced Dermatology of Westchester
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Aesthetic Services > Milia Extraction

What are Milia?

A Milium (plural milia), is a keratin-filled cyst that can appear just under the epidermis. These deep seeded white bumps form when skin cells become trapped rather than exfoliate naturally. The trapped cells become walled off into tiny cysts that appear like white beads below the surface of the skin. Milia form for a variety of reasons. Some you can fix, others aren't so easily dealt with. But you need to scrutinize your skin care routine whenever milia make their appearance.

So how do I remove them?

Sometimes milia won't come out in spite of your best efforts. You need the milia to be extracted by your Dermatologist or Aesthetician. In our office, milia are easily removed. The skin is cleansed with some rubbing alcohol, then the skin overlying the milia is gently opened with a sterile lancet. Then pressure is applied with a comedone extractor, and the milia typically pop out. It is a very easy, and quick procedure.

How do I prevent them?

A way to prevent milia is to undergo a periodic series of microdermabrasions or glycolic acid peels at our office. Maintenance is important. Unless you find your solution is throwing out some problem causing cream, you likely are in a situation where you will periodically continue to form new spots.

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