Milia Removal in NYC with Dermatologist Debra Jaliman, MD

Milia can be a persistent obstacle to achieving clear, smooth skin. These tiny, white cysts often appear in clusters—even on individuals with a consistent skincare routine—and can affect both your complexion and self-confidence. Fortunately, professional milia removal offers effective, safe solutions.

At our NYC dermatology office, Dr. Debra Jaliman, a board-certified dermatologist, specializes in identifying the cause of milia and providing customized treatments. Milia form when keratin becomes trapped beneath the skin’s surface. They are not pimples and typically do not respond to regular acne treatments, making dermatologist-guided care essential.

Milia treatment options include:

Over-the-counter exfoliants containing salicylic acid, glycolic acid, lactic acid, or retinol
Prescription-strength creams, such as tretinoin
In-office dermatologic extractions, which are the most reliable and immediate way to remove milia without scarring

With over 30 years of experience, Dr. Jaliman has helped countless patients eliminate milia and restore their skin’s smooth appearance. To learn more about milia removal in NYC, call our office today at to schedule your consultation. We’re happy to answer your questions, explain treatment options, and recommend the best approach for your skin type.

Causes of Milia

Understanding the causes of milia is essential for effective treatment and prevention. One of the primary reasons milia form is skin damage. This can result from burns, blisters, abrasions, or prolonged sun exposure. When the skin is healing, dead skin cells may become trapped beneath new skin layers, leading to the development of small, white cysts known as milia.

Another common contributor to milia formation is the use of heavy skincare products or comedogenic creams. Products that clog pores or prevent proper exfoliation can interfere with the skin’s natural shedding process, causing keratin buildup and the appearance of these tiny bumps. Choosing non-comedogenic skincare and seeking professional advice from a board-certified dermatologist can help prevent milia from forming.

Other Causes of Milia: Products, Genetics, and Medical Conditions

The use of heavy skincare products is a common but often overlooked trigger for milia formation—especially among individuals seeking rich, hydrating finishes. Thick creams, dense lotions, or full-coverage makeup may help lock in moisture, but they can also clog pores, creating the perfect conditions for milia to develop. Pore-clogging ingredients such as shea butter, cocoa butter, coconut oil, and mineral oil can obstruct normal skin cell turnover, leading to keratin buildup and the formation of tiny white bumps.

If you frequently use heavier creams, consider switching to non-comedogenic alternatives or lighter formulations that allow your skin to breathe. During your visit, Dr. Debra Jaliman will review your entire skincare regimen. Bring a full list of your current products, so she can determine which ingredients may be contributing to your milia. Identifying and eliminating problematic products is an essential step toward restoring smooth, clear skin.

In addition to skincare choices and environmental triggers, intrinsic factors can influence the development of milia. These small white cysts most commonly appear on the cheeks, eyelids, forehead, nose, and chin. If you have a family history of milia, your risk of developing them increases due to genetic predisposition. Certain medical conditions, such as bullous pemphigoid and epidermolysis bullosa, also heighten the risk by disrupting the skin’s healing process and structural integrity.

By understanding these multiple contributors—ranging from product ingredients to hereditary and medical factors—you can make informed choices for your skin. A consultation with Dr. Jaliman, a leading NYC dermatologist, will provide the personalized guidance you need to address both the root cause and visible symptoms of milia.

Home Removal Methods for Milia

While milia removal is safest when performed by a professional, some people consider at-home methods for managing their skin. One commonly used approach is steam treatment. Steaming your face for 5 to 10 minutes helps open up the pores, improving blood circulation, skin elasticity, and making it easier to remove blackheads and whiteheads—but not milia. Milia are often deeper under the skin and not easily extracted using steam alone.

However, steam can still help soften the skin, making the surrounding area more pliable. For comedones, the use of a comedone extractor tool can be effective following a steam session. It’s important to note that milia extraction at home is delicate and should only be attempted with extreme care.

If you do choose to try milia extraction at home, always prioritize sterilization and hygiene:

Sterilize a clean needle with rubbing alcohol
Gently prick the surface of the bump—only if you’re confident it’s not too deep
Apply light outward pressure with clean hands or cotton swabs
Stop immediately if resistance occurs to avoid skin trauma or scarring

After attempted extraction, or even if you skip that step, it’s essential to incorporate topical treatments that target keratin buildup. Look for over-the-counter products with ingredients like:

Salicylic acid
Glycolic acid
Lactic acid
Alpha-hydroxy acids (AHAs)

These exfoliating acids help prevent milia by encouraging cell turnover and dissolving the keratin that causes clogged pores. Apply them according to instructions, ideally after cleansing the area. These ingredients also support skin renewal, leading to a smoother, brighter complexion.

If home treatments aren’t working or if your milia are recurrent, it’s best to consult a board-certified dermatologist. Dr. Debra Jaliman in NYC can evaluate your skin and recommend safe, effective, and personalized treatments that go beyond what at-home remedies can achieve.

Effective Exfoliating Products for Milia Prevention

Regular exfoliation is a key step in maintaining smooth, clear skin and preventing the formation of milia. By removing dead skin cells that can clog pores and trap keratin beneath the surface, exfoliating products help reduce the conditions that lead to milia development. Choosing the right exfoliant can also improve skin texture, promote cell turnover, and enhance your overall skincare routine.

How to Use Exfoliating Products

To ensure optimal results, it’s important to follow the manufacturer’s instructions carefully. Most chemical exfoliants, such as those containing glycolic acid, salicylic acid, lactic acid, or mandelic acid, are best applied 1–2 times per week, depending on your skin type and sensitivity. If you’re new to acids or have sensitive skin, start with once-weekly use and gradually increase as tolerated.

After exfoliation, always apply a moisturizer to help restore the skin barrier. Since exfoliants can make the skin feel more vulnerable or dry, hydrating immediately afterward is essential for comfort and recovery.

Additionally, sun protection is critical. Exfoliation can increase sun sensitivity, making your skin more prone to UV damage. Apply a broad-spectrum SPF 30 or higher, preferably one with zinc oxide or titanium dioxide, to shield your freshly exfoliated skin and help preserve your results.

By integrating effective exfoliating products into your weekly routine and applying them properly, you can significantly reduce the risk of milia, improve skin clarity, and maintain a brighter, more even complexion. This foundation supports a more thorough skincare regimen that also includes gentle cleansing and professional guidance when needed.

How to Cleanse Your Skin to Prevent Milia

Gentle cleansing is the foundation of any effective skincare routine, especially when aiming to prevent milia. Using the right face cleanser ensures that you remove excess oil, dirt, and dead skin cells—without compromising your skin’s natural barrier.

Choose the Right Cleanser for Your Skin Type

To begin, select a pH-balanced cleanser that suits your skin type:

For oily or acne-prone skin, opt for a gel-based cleanser or foaming cleanser that helps control sebum without over-drying.
For dry or sensitive skin, a cream-based cleanser can cleanse while maintaining hydration and minimizing irritation.

The right facial cleanser prepares your skin to better absorb other treatments and reduces the likelihood of clogged pores, a common cause of milia formation.

Best Cleansing Practices for Healthy Skin

How you cleanse matters just as much as what you use. Avoid harsh scrubbing or abrasive washcloths, which can cause micro-tears, increase inflammation, and worsen sensitive skin. Instead:

Use your fingertips and apply the cleanser in gentle circular motions
Rinse with lukewarm water—never hot—to avoid stripping natural oils
Pat dry with a soft, clean towel to avoid irritation and friction

These gentle techniques support your skin’s protective barrier while keeping it clean and calm.

Establish a Consistent Cleansing Routine

For optimal skin health, cleanse your face twice daily—once in the morning to remove nighttime oils and once in the evening to clear away the day’s buildup of dirt, makeup, and pollutants. This consistency keeps pores clear, reduces the chances of milia development, and promotes a more even, radiant complexion.

When combined with the right exfoliating products and moisturizers, gentle cleansing sets the stage for a complete skincare strategy that supports both milia prevention and long-term skin clarity.

Dermatologist Treatments for Milia in NYC

When milia become persistent, widespread, or resistant to at-home remedies, seeking help from a board-certified dermatologist is the most effective step. Dermatologists have the expertise, precision tools, and professional-grade treatments necessary to safely and effectively address stubborn milia.

Unlike over-the-counter solutions, in-office milia treatments target the root cause and minimize the risk of scarring, infection, or recurrence. Whether you have facial milia, under-eye milia, or keratin-filled bumps on other areas of the skin, a dermatologist’s customized treatment plan ensures safe and lasting results.

Common dermatologist-recommended treatments include:

Professional extraction with sterile instruments
Electric needle treatments to dissolve the skin surface and release keratin
Topical retinoids or exfoliants to prevent new milia from forming
Laser therapy or chemical peels in select cases

If you’re dealing with hard white bumps under the skin, don’t wait for them to go away on their own. Schedule a milia consultation with a dermatologist in NYC to restore smooth, clear skin.

Professional Milia Extraction in NYC

When it comes to removing stubborn milia, one of the most effective and safest options is professional extraction by a dermatologist. This in-office procedure is quick, precise, and performed under sterile conditions to prevent skin damage or scarring.

Why Choose Professional Milia Extraction?

During a dermatologist-performed milia extraction, a specialized electric needle is often used first to gently dissolve the top layer of skin, allowing the trapped keratin to be released without trauma. Then, a sterile comedone extractor or fine needle is used to carefully remove the milia.

The entire process is:

Safe and sterile – minimizing the risk of infection or inflammation
Quick and convenient – often completed in under 30 minutes, making it ideal even during a lunch break
Effective – removes milia completely and reduces the risk of recurrence

Unlike at-home attempts, which can worsen irritation or lead to scarring, professional treatment for milia ensures your skin remains protected while targeting the underlying cause.

What to Expect After Milia Extraction

There is minimal discomfort during and after the procedure. Most patients experience no downtime and see visibly smoother skin immediately following treatment. Your dermatologist may also recommend topical retinoids, gentle exfoliants, or other milia prevention products as part of your follow-up care.

When to See a Dermatologist for Milia

If your milia are persistent, recurring, or located in sensitive areas such as around the eyes, it’s best to seek professional dermatologic care. Milia extraction by a qualified provider ensures effective results without unnecessary trauma to the skin.

Diagnosis of Milia: How Dermatologists Identify Milia Bumps

The diagnosis of milia is typically straightforward during a clinical skin examination. Milia appear as small, white or yellowish cysts just beneath the surface of the skin. These keratin-filled bumps are firm, painless, and most commonly found on the face—particularly around the eyes, cheeks, and forehead.

While easy to recognize, milia can sometimes be mistaken for other skin conditions such as sebaceous hyperplasia, clogged pores, or skin tags. That’s why a dermatologist’s evaluation is key to distinguishing milia from similar-looking lesions and recommending the proper treatment.

Milia are more commonly seen in individuals with:

Oily skin
Acne-prone skin
Rosacea
A history of frequent breakouts or pimples

If you’re noticing persistent white bumps that don’t go away, a milia diagnosis by a dermatologist ensures accurate identification and guides you toward effective treatment options.

Chemical Peels for Milia Removal in NYC

Chemical peels are an effective dermatologic treatment option for managing and preventing milia, especially when at-home exfoliation fails to deliver results. These in-office treatments use powerful exfoliating agents—most commonly glycolic acid or salicylic acid—to penetrate the skin more deeply than over-the-counter scrubs or peels.

By removing the outer layer of dead skin cells, chemical peels for milia help to:

Unclog pores
Release trapped keratin
Smooth skin texture
Reduce the risk of future milia formation

Unlike basic exfoliants, professional chemical peels are tailored to your skin’s specific needs and are administered under the supervision of a board-certified dermatologist to ensure safety and effectiveness.

Topical Retinoids for Milia Treatment

Prescription-strength topical retinoids, such as tretinoin, are highly effective treatments for milia removal and prevention. These powerful creams promote rapid skin cell turnover, helping to dislodge trapped dead skin cells and keratin plugs that cause milia to form beneath the skin’s surface.

By accelerating epidermal renewal, topical retinoids smooth skin texture, reduce clogged pores, and improve overall skin clarity. They are often a key component of a dermatologist’s treatment plan for stubborn or recurrent milia.

Important Considerations When Using Topical Retinoids

While topical retinoids are effective, they may cause skin irritation, including redness, dryness, and peeling—especially during the initial weeks of use. For this reason, it is crucial to use these medications under the supervision of a board-certified dermatologist who can tailor the strength and frequency to your specific skin type and tolerance.

Proper use and monitoring minimize side effects and maximize the benefits of retinoid therapy for milia.

Microdermabrasion for Milia Prevention in NYC

Microdermabrasion is a gentle, non-invasive skincare treatment that can help prevent milia by exfoliating the outermost layer of dead skin cells. This mechanical exfoliation process uses a specialized device—often with fine crystals or a diamond tip—to buff away dead skin, unclog pores, and promote cell turnover. By keeping the surface of the skin smooth and clear, microdermabrasion for milia reduces the likelihood of keratin buildup, which is the root cause of these tiny white cysts.

This in-office treatment is ideal for patients with congested skin, clogged pores, or a tendency to develop milia, especially around the eyes, cheeks, and forehead.

Microdermabrasion is painless, requires no downtime, and is often recommended as a preventive skincare treatment to maintain smooth, radiant skin.

Combining Microdermabrasion with Deeper Exfoliation

In cases where milia are more stubborn or widespread, dermatologists may combine microdermabrasion with chemical exfoliation for enhanced results. This may include chemical peels using agents such as glycolic acid or salicylic acid, which penetrate deeper into the epidermis to break down the keratin plugs that cause milia to form.

A customized treatment plan combining both mechanical and chemical exfoliation can significantly improve skin texture while reducing the recurrence of milia.

Why Choose a Dermatologist for Microdermabrasion?

While at-home exfoliants and spa treatments may offer superficial results, professional microdermabrasion performed by a board-certified dermatologist in NYC ensures precise, targeted treatment—especially important for delicate areas such as under the eyes.

Benefits of Chemical Peels for Milia

Deeper exfoliation than OTC products
Promotes cell turnover
Targets clogged pores and keratin buildup
Prevents future milia breakouts
Enhances overall skin clarity and smoothness

Explore Advanced Skin Treatments

In addition to chemical exfoliation, your dermatologist may recommend combining treatments like laser therapy, topical retinoids, or professional extraction for even more comprehensive milia removal and prevention. These customized skincare regimens offer excellent results when guided by expert medical care.

Laser Therapy for Milia Removal in NYC

Laser treatments for milia are a highly effective option when topical products and extractions are not enough. Dermatologists frequently use the Nd:YAG laser or Laser Genesis to target and reduce stubborn milia without damaging surrounding skin.

These advanced laser devices emit precise beams of light that gently vaporize milia and improve skin texture, leaving the skin smoother and clearer. Because the treatment is non-invasive and targets only the upper layers of the skin, downtime is minimal.

Benefits of Laser Treatment for Milia

Targets stubborn or recurrent milia
Improves overall skin texture
Stimulates collagen production
No damage to surrounding tissue
Quick, in-office procedure with minimal discomfort

Every patient’s skin is different, so consulting with a board-certified dermatologist is essential to determine if laser milia removal is the right choice for your skin type and goals.

Side Effects and Aftercare

Following laser therapy for milia, patients may experience:

Mild redness
Temporary tingling or warmth
Occasionally, slight swelling or sensitivity

These side effects typically resolve within minutes to a few hours. To promote healing and avoid irritation or post-treatment complications, it is important to follow your dermatologist’s aftercare instructions. These may include:

Avoiding sun exposure
Skipping harsh skincare products or exfoliants
Using a gentle cleanser and soothing moisturizer

Proper aftercare is critical for:

Preventing infection
Ensuring smooth skin recovery
Maximizing long-term results

By understanding laser options for milia treatment, you can take control of your skincare journey and enjoy clearer, healthier skin with confidence.

Milia Prevention Tips for Clear, Smooth Skin

Preventing milia may be easier than you think—especially when you integrate a few dermatologist-approved habits into your daily skincare routine.

Regular exfoliation is one of the best ways to prevent dead skin cell buildup that can clog pores and lead to milia formation. Skip harsh scrubs—instead, use gentle exfoliators like products with alpha-hydroxy acids (AHAs). These ingredients slough off dead skin without irritation, revealing fresher, smoother skin.

We recommend Sea Radiance Exfoliating Toner, which is formulated with aloe and glycolic acid. It’s alcohol-free, non-drying, and helps unclog pores while keeping the skin soft and hydrated.

Daily sun protection is essential. UV exposure not only damages the skin but can worsen underlying conditions that cause milia. Always apply a broad-spectrum sunscreen with SPF 30 or higher, even on cloudy days, to protect against UVA and UVB rays.

Also, be mindful of your skincare products and cosmetics. Heavy eye creams, under-eye patches, and greasy makeup can contribute to clogged pores, especially in those prone to milia around the eyes. Choose non-comedogenic products, which are specifically designed not to block pores.

Opt for lightweight moisturizers with hydrating ingredients like hyaluronic acid and glycerin, especially if you have oily skin, acne-prone skin, or are concerned about pore congestion.

Adopting a healthy lifestyle also plays a key role in skin health. A balanced diet rich in fruits, vegetables, and omega-3 fatty acids can boost skin vitality. Avoiding high-glycemic foods and increasing antioxidant-rich meals can reduce oxidative stress, which is linked to many skin conditions, including milia.

Finally, drink plenty of water to keep your skin hydrated, supple, and resilient. Proper hydration improves skin elasticity, helping reduce the risk of milia formation.

Incorporating these milia prevention strategies into your routine can lead to clearer skin, fewer bumps, and a more radiant complexion over time.

Skincare routine & products:

daily skincare routine, regular exfoliation, gentle exfoliators, alpha-hydroxy acids, AHAs, glycolic acid, aloe, Sea Radiance Exfoliating Toner, alcohol-free toner, lightweight moisturizers, hyaluronic acid, glycerin, non-comedogenic products, acne-prone skin, oily skin

Sun protection:

sun protection, UV exposure, broad-spectrum sunscreen, SPF 30, UVA and UVB rays

Frequently Asked Questions About Milia

Understanding Milia

What are milk spots?

Milk spots are another name for milia. They are small, white, benign cysts that form when keratin becomes trapped under the skin’s surface.

Are milia dangerous?

No, milia are not dangerous. They are benign and do not develop into skin cancer or other serious conditions.

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. This often happens due to sun damage, skin trauma, or the use of heavy skincare products. To prevent recurrence, maintain a skincare routine that includes gentle exfoliation, daily sunscreen, and non-comedogenic products.

Causes and Risk Factors

What medication can make you more prone to milia?

Steroids and topical steroid creams may make people more susceptible to milia, regardless of age or location on the skin.

Skincare Products & At-Home Prevention

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

Yes, products with exfoliating ingredients such as alpha hydroxy acids (AHAs), beta hydroxy acids (BHAs), and retinoids can help reduce milia by promoting cell turnover and unclogging pores.

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

Effective at-home prevention includes gentle exfoliation using AHAs or BHAs, warm compresses to soften the skin, and avoiding occlusive or heavy creams. While these methods may help, 95% of people find professional extraction by a dermatologist more effective and safer.

Professional Milia Removal

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

Yes. Dermatologists may use manual extraction, chemical peels, microdermabrasion, or laser therapy to treat milia. Manual extraction provides immediate results and is highly effective—over 90% of patients see resolution after a single session. Multiple sessions may be needed if you have many milia. Chemical peels and laser treatments can improve skin texture and prevent recurrence.

Can cryotherapy be used to treat milia?

No, cryotherapy (liquid nitrogen) is not an effective treatment for milia.

Risks and Safety

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

Yes. While complications are rare, risks include temporary redness, irritation, and the potential for scarring. These risks are minimized when the procedure is done by a qualified dermatologist like Dr. Debra Jaliman.

Book a Consultation in NYC

To discuss your personalized treatment options, call our office at to schedule a consultation with Dr. Debra Jaliman, board-certified dermatologist located on the Upper East Side of New York City.

Milia Removal NYC