You look in the mirror and BAM! There’s this tiny, white bump on your cheek. You think it’s a whitehead and, naturally, proceed to pinch it. Nothing happens, besides feeling eye-watering pain because you pressed so hard. Plus, it appears to ‘run’ away when you apply pressure. This is not like any blemish you’ve ever encountered. So, what is it? And most importantly, how do you get rid of it?
Milia (pronounced me-LEE-ah) most commonly occur in infants—especially on a newborn’s nose or forehead— but also can occur in children and adults. Luckily, milia—or milium for one— are not dangerous. However, they can make you feel insecure about your looks, especially when they appear in groups on your face. Of course, I understand, you want those facial milia gone!
What is Milia?
Those white or yellowish bumps you discovered are keratin-filled cysts that form just under the skin. They occur when dead skin cells get trapped.
However, it’s not that easy to get rid of milia.
Learning how to do it right is paramount. Especially if you have sensitive skin, you don’t want to damage your skin with poor milia removal techniques. If it doesn’t bother you appearance wise—best to leave it alone. Occasionally, they can dissolve on their own.
What Causes Milia?
There are several factors that cause milia in adults. Most commonly, they occur due to dead skin building up and getting trapped in the pores near the surface of the skin. If it doesn’t get expelled naturally, it can become small cysts. This type of milia is called Primary Milia.
The other type of milia is Secondary Milia. Primary and secondary milia look the same but develop from very different reasons. Secondary Milia happens when something clogs the sweat ducts. This usually is caused from some kind of skin trauma or infection, such as blistering, laser treatments, chemical peels, and herpes.
Other possible contributing lifestyle factors include: lack of sleep; smoking; poor personal hygiene; using oil-based beauty products in excess; and long-term steroid use.
How to Remove Milia at Home?
Although tempting, if those pesky white bumps are near your eyes—either on the lids or under-eye skin—don’t remove it on your own. If it’s not in a sensitive area, such as your forehead or cheek, there are a few simple techniques to remove it safely.
But first, know that milia are not like a pimple that appears and goes away in a few days.
They don’t usually go away on their own. And you can’t pop it like you would a pimple. Milia removal usually requires an incision. The cysts are usually deep below the skin’s surface. Again, getting a milium isn’t harmful. But it is more than understandable if you want to remove it for aesthetic purposes.
Here are the seven highly effective steps to safely removing milia at home:
- Sanitize a sharp needle (the finer point the better) and tweezers or comedone extractor.
- Clean your face with gentle cleanser and rinse it thoroughly.
- Dry your face completely with a clean towel.
- Gently make a tiny incision on the top or on the side of the milium sufficient enough to excise it.
- Using the tweezers or extractor, apply gentle pressure to remove the milium up and out of the small opening.
- Apply an antiseptic or rubbing alcohol to the incision.
- When finished, continue with your regular skincare routine.
Again, milia aren’t like pimples. There isn’t more to extract by simply squeezing harder or repeatedly. Don’t continue to squeeze the area after the white bead has been removed. This will only cause damage.
If doing a mini-surgery on yourself makes you weak in the knees, there are other less invasive—albeit less immediate—methods. You can try an oatmeal scrub, a steam bath, or applying honey, castor oil or apple cider vinegar to the milia bumps. These home remedies probably work instantly. But with continuous use these milia treatments may reduce or prevent them.
Milia Removal: When to See a Dermatologist
There are a few situations where making an appointment with a skincare professional is optimal. Typically, it’s a quick and painless in-office procedure. Depending on the dermatologist, they get rid of the milia using a needle, comedone extractor or lancing tool.
So, when is it best to consult a dermatologist instead of DIY?
If you have any of these scenarios, leave it to a doctor to remove the milia:
- If you have an unsteady hand or feel uncomfortable about doing the removal.
- If you have many concentrated in one area rather than one or two.
- If you have milia under the eyes or on the eyelids.
How To Prevent More Milia?
So now that you’ve removed it, how do you keep milia from coming back? Of course, removing your makeup and washing your face before bed every night is vital. Also, exfoliation works wonders in preventing milia. Use a gentle exfoliant at least three times a week on your entire face, including the eyes and eyelids.
Retinol is also very helpful for both fighting and preventing milia. Apply a small amount to the face every other night; make sure to avoid the eyelids.
And other lifestyle changes that can help prevent milia include limiting your intake of cholesterol-rich foods (meat, eggs, etc), taking Vitamin D, avoiding heavy oil-based skincare or makeup products and limiting sun exposure (except for early morning sun).
In conclusion, milia aren’t harmful but they can be unsightly. If they aren’t on the eyelid or under the eye, you can simply and safely remove them at home. And to prevent milia in the future, make sure to keep your face clean, especially before bedtime, gently exfoliate regularly, and avoid sunburns.
Any questions or concerns, make an appointment.