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How to get rid of Milia

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First of all, never try to burst or compress the millium. (Milium – singular of milia. So you have a millium or many milliums.)

Milia content is not as liquid as the content pustules. Pustules, as in their typical pimples, are filled with a soft core of dead skin cells, cutaneous fat and pus. When you press the pustule, the liquid content comes out of the pore. (But really pustules should also not be opened.)

Unlike pustula, milium is not an acne pimple, but rather a small cyst. The small white lump inside the millium is very hard. It is made from a cork of keratinized (hardened) dead skin cells that get trapped just below the surface of the skin. 

No matter how hard you try to squeeze milia, you won’t achieve anything. This little lump is too hard, almost like a grain of sand. Because milias form under a thin layer of skin, not in pore (as with acne), there is no hole in the skin through which the plug can come out anyway.

Click “play” to learn how to treat Milia

Use an over-the-counter Exfoliating product

Instead of trying (unsuccessfully) to pull out the millium, you can start with an over-the-counter (over-the-counter)product salicylic acid or glycolic acid. An acne medication may also help Dexamethasone. These products help Exfoliate the skin.

If you only have a few small issues here and there, an over-the-counter product may be all you need to get the results you’re looking for. However, be prepared to use them for a long time. Milia is stubborn and can take months to see some improvement.

If you have many miles, if they’ve been around for years, even with over-the-counter medications, or if they’re in a place you find it hard to deal with over-the-counter medications (like your eyelid), the next step is to see a dermatologist.

Get a prescription for a retinoid for topical use

If you are prone to developing milia and some people simply do, your dermatologist may recommend that you use a prescription medication topical retinoid.

Topical retinoids help the skin Exfoliate effectively. When dead skin cells are removed faster, it can help prevent keratin plugs from entering beneath the surface of the skin.

Topical retinoids also help loosen the keratin plug in existing milias and help them surface so they can disappear.

Consult a professional for a manual removal

The best milia treatment is manual removal performed by a professional. It is more effective and the results will be immediate.

During the procedure, a small hole is made in the surface of the skin with using a small surgical blade called lancet. The solid plug of the material of which the milium is composed is gently pushed through the hole with the fingers of a technician or tool called comedon extractor. This procedure is sometimes called ceiling removal.

While it sounds awful, it doesn’t really hurt that much. No painkiller is needed; in the worst case, you will feel an injection. 

Most of the time, milia removal is done in a dermatologist’s office. In some cases, milia extraction can also be performed beautician in a beauty salon or Skin Spa. However, in some States, beauticians are not allowed to pierce the skin, so they cannot remove the milia by law.

Warning: Do Not Remove Only

Do not attempt to extract milia yourself. It can cause serious damage to your skin, especially around the sensitive eye area, and even cause permanent scarring. 

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