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Milia Removal in NYC with dermatologist Debra Jaliman, MD

Milia can be a persistent challenge in achieving flawless, smooth skin. Even with a dedicated skin care routine, those stubborn white bumps can still emerge in clusters, affecting more than just your complexion—they can also damage the self-esteem of many adults.

But there's good news—professional techniques are available that effectively treat and remove milia. We will discuss why these small white bumps form and what methods truly work to eliminate them. This approach ensures you have access to reliable strategies proven to deliver clear skin.

The best methods for preventing milia include over-the-counter treatments with exfoliating ingredients like salicylic acid, lactic acid, glycolic acid, and retinol, prescription creams such as a retinoid like tretinoin, and professional in-office procedures performed by dermatologists, such as extraction. It's advisable to consult a board-certified dermatologist for personalized treatment options to ensure safe removal of milia. Dr. Jaliman has successfully treated many patients with milia over the past 30 years. Call our office at   to schedule an appointment to discuss this skin condition and all of your treatment options, ask any questions, and get any advice and information you may need.

Causes of Milia

One primary reason milia forms is skin damage. This could range from burns and blisters to sun exposure. When your skin sustains damage, it begins the healing process. During this time, dead skin cells can become trapped beneath the new layers of skin. This entrapment leads to the formation of those telltale little bumps.

Another significant factor in the development of milia involves the products we choose to apply to our skin.

The use of heavy skin products is quite common, especially among individuals who aim for a thicker, more hydrating finish. Creams, lotions, or makeup that are denser in texture may lock in moisture but can also clog pores. Ingredients that clog the pore include Shea, butter, cocoa, butter, coconut oil, and mineral oil. This blockage inhibits normal skin cell turnover, which is key to maintaining healthy skin. When dead cells are not shed naturally, they may accumulate, creating the ideal environment for milia to form. If you use heavier creams frequently, consider alternating with lighter formulations or non-comedogenic products that won't obstruct your pores.

Besides environmental factors and product choices, there are intrinsic elements at play.

These small white cysts are most commonly found on facial areas such as the cheeks, eyelids, nose, forehead, and chin.

Genetics and medical conditions can also predispose individuals to milia. If family members have dealt with this issue, the chances of you developing milia are significantly higher—a classic example of hereditary influence on skin conditions. Additionally, certain medical conditions such as bullous pemphigoid and epidermolysis bullosa increase susceptibility to milia thanks to their effects on the skin’s upper layers and healing processes.

Understanding these underlying causes empowers you to take proactive measures; consulting a dermatologist can provide personalized guidance based on your family history or any existing skin concerns.

Home Removal Methods

One popular approach at home is using steam treatment, and for good reason. Steaming your face for about 5 to 10 minutes provides a soothing experience and significantly opens up the pores. This simple act enhances the skin’s ability to release whiteheads or blackheads, but not milia. They are too deep. It makes extraction much easier for comedones with the correct tool, which is a comedone extractor. The warmth from the steam expands your skin's natural openings, facilitating the removal process while also promoting better blood circulation and skin elasticity.

Once you've prepared your skin with steam, you can consider using clean needles for extraction, which requires careful handling to avoid harm.

If you decide to extract comedones at home, prioritizing hygiene is essential. First, sterilize a clean needle with rubbing alcohol—this step cannot be overlooked because using dirty tools can lead to infections. When ready, gently prick the surface of the bump; this should be done with minimal pressure. Following this, apply a slight outward pressure around the milia; if executed correctly, you should see the trapped substance being released. If it doesn't release easily, then stop to avoid any risk of injury to your skin. Always remember: keeping your hands and tools meticulously clean is vital in preventing any post-extraction complications.

After extraction, consider adding specific topical treatments to your skincare routine to complement your efforts.

Over-the-counter products containing salicylic acid or alpha-hydroxy acids are excellent for treating milia. They assist in clearing out clogged pores. These ingredients work by breaking down the keratin plugs, which leads to milia development. After cleansing the affected area and carrying out any extractions, use these treatments according to the instructions on the label. They not only help stop new milia from appearing but also encourage overall skin rejuvenation, resulting in a brighter and smoother complexion.

If you're unsure about these methods or struggling with stubborn milia, it's a good idea to consult a dermatologist. They can offer personalized treatment options that cater to your specific skin type and requirements, making sure your path to achieving smooth skin is safe and effective.

With these insights into home remedies and treatments, understanding what products can enhance your skincare regimen further will be beneficial.

Effective Exfoliating Products

Regular exfoliation serves as a crucial defense against the formation of milia by sloughing off the dead skin cells that can clog pores. When selecting exfoliating products, it’s important to understand that not all formulations are created equal. The right products can help you keep your skin clear, enhance texture, and promote cell turnover.

How to Use

To maximize the effectiveness of exfoliants, use them according to the manufacturer's instructions for optimal results. Most exfoliants require a twice-weekly application for most skin types; however, if you have sensitive skin or are new to acids, starting once a week is advisable to gauge your skin's response.

After applying these products, always follow up with a moisturizer to replenish the skin barrier since exfoliation can leave your skin feeling slightly more vulnerable and sensitive.

Additionally, integrating sun protection into your routine is vital when using these products. Exfoliation often makes your skin more susceptible to sun damage, so applying a broad-spectrum sunscreen protects against harmful UV rays and helps maintain your newly revealed glow. Use an SPF of 30 or above containing zinc oxide or titanium dioxide.

Incorporating these effective exfoliating products while adhering to proper application techniques can significantly reduce the chances of milia forming. This sets the stage for understanding how essential gentle cleansing methods support healthy skin maintenance.

How to Cleanse

Gentle cleansing forms the foundation of a good skincare routine and is crucial for preventing milia. When washing your face, it's vital to choose a mild, pH-balanced cleanser that aligns with your skin type. For instance, if you have oily skin, look for a gel-based or foaming cleanser; cream-based cleansers are often more beneficial for dry skin. Selecting the right product sets the stage for a successful cleansing routine, ensuring you remove dirt and impurities while maintaining your skin's natural moisture barrier.

As you begin this cleansing process, it’s important to remember that how you wash your face matters just as much as what you use. Avoid scrubbing vigorously; aggressive washing can lead to micro-tears in your skin and exacerbate conditions like irritation or dryness. Instead, use your fingertips in gentle circular motions to allow the cleanser to do its job effectively without causing harm.

For optimal results, always opt for lukewarm water rather than hot water. Hot water may strip the skin of its essential oils, leaving it feeling tight and dry. Lukewarm water provides adequate cleansing without jeopardizing the skin's hydration levels.

When drying your face after cleansing, pat your skin dry using a soft towel instead of rubbing it harshly. Rubbing can lead to unnecessary friction that irritates sensitive areas of your skin. By adopting this simple technique, you promote smoother skin while avoiding the risk of introducing new blemishes.

Additionally, consider incorporating a time-of-day strategy into your routine. Cleansing your face twice daily—once in the morning and once before bed—can help keep excess oil and dirt at bay throughout the day while allowing your skin to recover during sleep. When combined with gentle techniques and appropriate products, this balanced approach enhances your skin's overall health.

Armed with these gentle cleansing practices, you'll be set up for success as we explore advanced solutions tailored by professionals to address various skin concerns effectively.

Dermatologist Treatments

When milia become persistent or numerous, consulting a dermatologist becomes a wise choice. This is especially true when at-home remedies fall short, as dermatologists possess both the expertise and tools to address this skin issue effectively.

Professional Extraction

One of the most common treatments for stubborn milia is professional extraction. During this procedure, dermatologists utilize sterile instruments to extract the milia safely without inflicting any damage or scarring on the surrounding skin. The great thing about this is how quick it typically is; you can even fit this appointment into a lunch break! Not only does professional extraction remove the visible bumps, but it also ensures that the underlying causes are addressed in a controlled environment, reducing the chances of recurrence. There is minimal pain or discomfort associated with this treatment.

Moving beyond straightforward extraction, dermatologists may also recommend topical treatments that can help manage milia more effectively.

Diagnosis of Milia

Milia are straightforward to identify by the way they look during a clinical examination, although they may occasionally be mistaken for sebaceous hyperplasia or small skin tags. They are tiny white cysts that occur near the surface of the skin. These changes are often seen in people who have oily skin or who are acne-prone or have pimples or rosacea.

What medication can make you more prone to milia?

Steroids and steroid creams may make a patient more susceptible to milia in any location on their skin and at any age.

Can cryotherapy be used to treat milia?

Cryotherapy or liquid nitrogen is not an effective treatment for milia.

What are milk spots?

Milk spots are another name for milia.

Are milia dangerous?

Milia are not dangerous. They are benign conditions and do not turn into skin cancer.

Topical Retinoids

Prescription-strength creams such as tretinoin serve as excellent options for treating milia. These topical retinoids work by promoting rapid skin cell turnover, helping to dislodge trapped dead skin cells that contribute to the formation of milia. However, it's essential to remember that while these products can be very effective, they often bring with them some unwanted irritation. Users should apply these under medical supervision to ensure they are suitable for their skin type and to monitor for any adverse reactions.

Microdermabrasion

Microdermabrasion is a safe and effective method for preventing future milia by exfoliating dead skin cells.

In addition, dermatologists may employ chemical solutions to exfoliate the skin more deeply.

Chemical Peels

Chemical peels featuring agents like glycolic or salicylic acid offer another powerful method for combating milia. Unlike over-the-counter exfoliants, professional-grade peels penetrate deeper into the skin layers and facilitate a more thorough exfoliation of the outer dermis. By removing the top layer of dead skin cells, chemical peels not only enhance the overall texture but also prevent future milia from forming.

With various advanced techniques available, exploring other sophisticated methods could further enhance your skincare journey.

Laser Therapy Options

Laser treatments are often a go-to solution for preventing milia as they offer precision and effectiveness. The most commonly employed laser in this context is the Nd:YAG laser or Laser Genesis.

This advanced device emits focused beams of light that vaporize unwanted skin irregularities without damaging the surrounding healthy tissue. It provides a smoother skin texture after treatment.

Laser offers distinct advantages based on individual skin concerns and treatment needs; consulting with a board-certified dermatologist is crucial to determine which treatment is suitable for you.

Side Effects

Following laser treatment for milia, some side effects are common—mild redness is usual. Typically, these symptoms subside within a few minutes. Patients sometimes give feedback and say there is a slight tingling sensation. They should adhere closely to any aftercare instructions provided by their dermatologist, which may include avoiding sun exposure or refraining from using certain skincare products that could irritate the area and result in redness and a rash.

Proper aftercare is not just a suggestion but a vital component in preventing infection and ensuring optimal healing. Skin that is cared for properly has a higher chance of recovering without complications.

By understanding these options and their effects, you can confidently approach your treatment plan, knowing that modern technology offers effective solutions for those annoying milia.

Understanding treatment options can motivate you to seek out ways to attain and maintain clear, healthy skin.

Prevention Tips for Clear Skin

Preventing milia may be easier than you think, especially when you integrate a few simple habits into your skincare routine. Regular exfoliation is one of the best ways to ensure that dead skin cells don’t accumulate and block your pores.

This doesn’t mean you need harsh scrubs. Instead, opt for gentle exfoliators that won't irritate your skin. For example, products containing alpha-hydroxy acids (AHAs) can effectively remove dead skin cells, revealing fresh skin underneath while being gentle. This simple step can significantly improve your complexion, making it smoother. We make a toner called Sea Radiance Exfoliating Toner, which is formulated with aloe and glycolic acid. It's alcohol-free, making it non-drying, and it effectively unclogs pores.

Another crucial aspect of skincare is daily sun protection. Applying good sunscreen should be as routine as brushing your teeth. UV rays not only damage your skin but can also worsen conditions that contribute to the formation of milia.

Using a broad-spectrum sunscreen with an SPF of at least 30 provides essential protection against harmful UVA and UVB rays. Remember, even on cloudy days, sunscreen is necessary, as UV rays can still penetrate the clouds.

At the same time, pay attention to the products you use on your skin. Heavy creams and greasy makeup can clog pores, making it easier for milia to form. It’s beneficial to choose skincare and beauty products labeled as non-comedogenic, meaning they won’t block pores.

Using under-eye patches can sometimes cause milia for certain individuals, particularly if the ingredients are comedogenic. If you're prone to developing milia around your eyes, it might be wise to steer clear of these patches.

Lightweight moisturizers that contain hydrating ingredients such as hyaluronic acid and glycerin, or those designed for oily or acne-prone skin, can maintain your skin's hydration while minimizing your chance of clogged pores.

Adopting a healthy lifestyle is crucial for maintaining good skin health. A balanced diet filled with fruits, vegetables, and essential fatty acids enhances skin vitality. Steering clear of high glycemic foods and incorporating antioxidant-rich options can help reduce oxidative stress, which may contribute to skin problems like milia.

Staying well-hydrated by drinking plenty of water will help maintain your skin’s elasticity and suppleness—qualities important in preventing milia formation.

Ultimately, incorporating these preventive steps into your daily routine can keep your skin clear and smooth while minimizing stubborn milia returning. Following a consistent regimen is key; small adjustments make a big difference in how your skin looks and feels over time.

With proper care and informed choices, achieving smooth and healthy skin becomes a more attainable goal for everyone.

Are there any risks or side effects associated with milia removal procedures?

Yes, milia removal procedures can involve some risks and side effects, including irritation, redness, and a potential scar at the treatment site. Statistically, while complications are rare, approximately 1-3% of patients may experience post-procedural issues. It's essential to have these procedures done by a qualified dermatologist to minimize such risks and ensure safety.

Can certain skincare products help in reducing the appearance of milia, and if so, which ones are recommended?

Yes, certain skincare products can help reduce the appearance of milia. Look for exfoliating ingredients such as alpha hydroxy acids (AHAs) and beta hydroxy acids (BHAs), which promote cell turnover and prevent clogged pores. Products containing retinoids are also recommended, as they can help smooth the skin's surface and enhance skin renewal. According to dermatological studies, consistent use of these ingredients can significantly improve skin texture, leading to a reduction in milia over time.

What causes milia to form, and how can their recurrence be prevented?

Milia form when keratin, a protein found in skin cells, becomes trapped beneath the surface of the skin, often due to factors like sun damage, skin trauma, or heavy skincare products. To prevent their recurrence, it’s essential to maintain a consistent skincare routine that includes gentle exfoliation, sunscreen usage, and avoiding occlusive products that can clog pores. Research shows that regular exfoliation can reduce the likelihood of milia by up to 50%, emphasizing the importance of keeping the skin clear and healthy. Also, products like salicylic and glycolic acids can be used to unclog pores. You can also have a light peel to help with exfoliation.

What are the most effective methods for safely preventing milia at home?

Some effective methods for preventing milia at home include gentle exfoliation with products containing alpha hydroxy acids (AHAs) or beta hydroxy acids (BHAs), using warm compresses to soften the skin, and avoiding heavy creams that can clog pores. While at-home techniques may work for some, it’s important to note that about 95% of individuals find it more effective and safer to consult a dermatologist for professional extraction, as they have the proper tools and expertise to prevent scarring or infection.

Call our office at   to book a consultation with Dr. Debra Jaliman, located on the Upper East Side in NYC, to discuss your treatment options.

Are there professional treatments available for milia removal, and how do they compare in effectiveness?

Yes, several professional treatments are available for milia removal, including extraction by a dermatologist, chemical peels, and microdermabrasion. Among these, the most common method is manual extraction, which is highly effective and offers immediate results; studies show that over 90% of patients achieve complete resolution after a single session. Sometimes, it is necessary to book multiple sessions if you have many milia. Chemical peels can improve skin texture and reduce the likelihood of future milia, while laser therapy targets underlying skin layers for more extensive treatment. Each method varies in effectiveness based on skin type and the extent of milia present, but professional interventions generally provide clearer and smoother skin compared to at-home remedies.

Call us to consult with our expert to acheive superb results

Location & Directions

Debra Jaliman, MD Cosmetic Dermatologist and Botox Procedures in NYC

931 Fifth Avenue (between 74th & 75th streets) New York, NY 10021

Our office is HIPAA compliant.

We ask that you reschedule your appointment if you have COVID.

  • American Academy of Dermatology
  • American Board of Dermatology
  • Mount Sinai
  • American Society for Dermatologic Surgery