Traumatic Milia

Milia can sometimes occur on the skin where another injury (such as a rash or a sunburn) have occurred. The cysts may become irritated, making them red along the edges and white in the center.

Diagnosis

Due to the fact that milia are quite visible, a dermatologist will visually determine if you have milia based on the appearance of cysts. Skin lesion biopsies are only needed in rare cases[2]. If you see similar little white bumps on your skin you may want to check with a doctor to deduce if you indeed have milia, and to decide on a treatment plan (if you desire one).

Milia Removal and Treatment

Due to the fact that infant milia generally disappear on their own within a few weeks, there is no milia removal or treatment process.

Milia in older children and adults disappears on its own as well, but some people may choose to treat it if there is some discomfort. Common practices include:

• Cryotherapy – Liquid nitrogen freezes the milia. It’s the most frequently used removal method.
• Deroofing – A sterile needle picks out the contents of the cyst. This method is common for treating milia.
• Topical retinoids – These vitamin A-containing creams help exfoliate your skin.
• Chemical peels – Chemical peels cause the first layer of skin to peel off, unearthing new skin.
• Laser ablation – A small laser focuses on the affected areas to remove the cysts.
• Diathermy – Extreme heat destroys the cysts.
• Destruction of curettage – The cysts are surgically scraped and cauterized.

Milia has even been treated using a paper clip, but it is recommended that the procedure be completed by a doctor and not attempted at home.

The following video shows a dermatologist removing multiple milia using the deroofing method.

How to Prevent a Milium Cyst

Even though milia may not be harmful to us, it’s can still be aesthetically unpleasant. Because milia are the result of problems on the skin’s surface, changing your lifestyle, with a focus on healthy and clean skin, can make a huge difference in preventing these pesky little bumps.

Protect Your Skin with Sunscreen

Milia is often associated with damage to the skin, so protect your skin from the sun when you’re at the beach, at your kid’s baseball, or just enjoying some rays on your back porch.

Don’t Use Heavy Products

Coating your skin in heavy products can inhibit the removal of dead skin cells. That includes creams, ointment, makeup, and even lip balm. Using cleansers with microbeads can also increase your likelihood of developing milia[4]. Changing up your beauty routine to exclude heavy products, and instead include safe and light products will keep your skin clear and keep that milia away.

Exfoliate Regularly

It can often be difficult to exfoliate a baby’s skin because their pores have not yet developed fully, but that leaves no excuse for you! Keeping your pore clean will help to ensure that keratin does not become lodged in your skin, creating milia.

At the end of the day, milia are harmless. Apart from its unpleasant appearance, it won’t hurt us and will go away in its own time. If you are concerned about your milia and wish to treat it, then speak with your doctor about an appropriate way to do that. Otherwise, just let these little bumps do their thing, and they’ll soon be on their way.