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Regular exfoliation will help clear out damaged skin cells for newer and healthier skin to move on top of the epidermis,” Dr. Anna Chacon told us. Ingredients that renew and exfoliate the skin are key when it comes to choosing the right milia remover. Unfortunately, exfoliating ingredients can also be irritating. Here’s how to find the ideal balance based on your skin type and the affected area. Skin type Nisticò SP, Cannarozzo G, Campolmi P, et al. Erbium laser for skin surgery: A single-center twenty-five years' experience. Medicines (Basel). 2021;8(12):74. doi:10.3390/medicines8120074 When it comes to the eye area specifically, cosmetic acupuncture pioneer Dr (TCM) John Tsagaris explains that when skincare doesn't penetrate properly, primary milia can manifest. "Unlike skin on the rest of the face, the eye area does not contain oil glands that can help keep this skin moist, and it has limited blood circulation – therefore eye creams need to be specialised so they can be absorbed properly," he explains. If they are bothering you, your doctor can remove milia by slicing off the top of individual cysts with a sterile blade or needle and squeezing them out. Milia may also be removed by your doctor by: Milia occurring under the eyes can be especially unlikely to resolve spontaneously. To remove these surgically, see a dermatologist or an ophthalmologist who specialises in cosmetic eye surgery (including milia treatment). Stitches are not needed when milia are surgically removed.
Soleymani T, Lanoue J, Rahman Z. A practical approach to chemical peels: A review of fundamentals and step-by-step algorithmic protocol for treatment. J Clin Aesthet Dermatol. 2018;11(8):21-28. American Academy of Dermatology Association. 10 things to know before having laser treatment for your scar. Milia occurring in newborns (neonatal milia) typically resolve on their own within a few weeks. Primary milia affecting older children and adults can either disappear within a few weeks or months, or they can persist longer. Milia occurring on the face (for example, on the cheeks, chin or alongside the nose) often can be safely removed at home using a sterilised needle, lancet or comedone extractor. A comedone extractor is a hand-held, pencil-shaped skin care tool that often has a sharp lancet on one end and a rounded extractor on the other end to treat acne lesions and milia.
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The most effective milia removers contain ingredients that renew and exfoliate the skin. We spoke with two board-certified dermatologists, Anna Chacon, M.D., and Patricia Gaile Espinosa, to learn the ins and outs of milia removal products.
It's never a good idea to try a pop milia like a pimple (you also shouldn't be popping your pimples!). "Never poke or prod milia,” advises Dr. Moustafa. “And avoid scrubbing milia with any kind of gritty exfoliant.” ✔️ Focus on gentle cleansing.While around half of newborn babies have milia, the bumps usually go away without treatment in several weeks to months. They are hard to prevent but it can help to gently wipe your baby’s face every day. However, exfoliation close to the eye area isn't recommended: "The skin tissue is much thinner and more sensitive, therefore overstimulating the eye area can cause soreness and sensitivity." Instead she suggests using an eye cream with active ingredients – such as retinol – that works in a similar way. Milia also are associated with other kinds of skin damage — from an injury, medication or illness. These less common forms are called secondary milia.
Paula Begoun's salicylic-acid based toner is ideal for exfoliating without causing irritation. 3. Exfoliate, or use active ingredients like retinol Adapalene works by unclogging the pores and speeding up the shedding of dead skin cells. Adapalene is more potent than the cosmetic retinoids you’ll usually find in the skincare aisle, which means faster results but potentially more irritation.Unlike a pimple, milia don’t have an opening on the skin’s surface so they can’t be squeezed or popped. Scarring and skin damage can occur if you try, especially around the delicate eye area, so it’s best to leave this to the professionals. In many cases, milia will clear up upon their own after a few weeks or months. However, if the condition continues, we recommend visiting one of our qualified dermal technicians who can assist with extraction. Before you’re tempted to squeeze them, consult with an Australian Skin Clinics dermal technician who will be able to identify the bumps for you and advise a treatment plan. Who can get milia?
Milia can be caused by a build up of dead skin cells, makeup or skincare products in the pores of the skin. Sometimes it’s triggered by an infection or bad sunburn. Often, milia will occur along with other skin conditions such as rosacea. Here's the best daily remedy to try: “ Gentle skin care,” says Dr. Moustafa. “Look for one with mild exfoliating properties, like glycolic or lactic acid.” Wash your face the right way, following advice from the American Academy of Dermatology: Using a gentle cleanser and your fingertips, wash with lukewarm water, avoiding scrubbing and rinse with lukewarm water and pat dry with a soft towel. Also, make sure your skin has a chance to breathe and be free of makeup every once in a while. ✔️ Try topical retinoid cream. The main ingredient here is gluconolactone, which is used at a 4% concentration. Also known as polyhydroxy acid or PHA, this ingredient has a mild exfoliating effect. Its molecules are larger than other chemical exfoliants like AHA and BHA, so it still sloughs away dead skin but with a lower risk of irritation. We’ll cover the best milia removal products for every situation. Whether you have milia around the eyes or elsewhere on your face or body, we’ll help you find the right product that can help. Best milia removal product overview: The first thing you may wonder is whether you should see a doctor if you have milia. Most often, there's no need to. “Milia are completely harmless and are strictly a cosmetic issue,” says Dr. Zeichner.Other strategies that may be used for milia treatment include chemical peels, laser ablation, cryotherapy (freezing) and diathermy (heat therapy). If, when peering close into the mirror, you've noticed a smattering of tiny, milky-white spots lying beneath the surface of your skin, you're not alone. They're known as milia, and are purely a cosmetic issue with no health concerns attached. However, there are ways to get rid of them – should you want to. Here, skincare experts share how. Milia occur most commonly in babies. In fact, they are found in nearly half of full-term newborns. However, teens and adults also can be affected by milia. What causes milia? Hinen HB, Gathings RM, Shuler M, Wine Lee L. Successful treatment of facial milia in an infant with orofaciodigital syndrome type 1. Pediatr Dermatol. 2018;35(1):e88-e89. doi:10.1111/pde.13350
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