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Milia are small white bumps that can appear on the face and are common in newborns. They are caused by trapped skin cells and can be caused by oily skin care products, sun exposure, and genetics. Most fade on their own, but exfoliation or removal by a dermatologist is an option.
Milia are small white bumps that typically appear on or around a person’s chin or nose, but can also appear on the cheeks and forehead. They can appear at any age, but are more common in newborns and can appear due to immature sebaceous glands. They’re so common that about 50 percent of all children get them at some point. They don’t hurt and the best treatment for children with this condition is actually no treatment. However, it is recommended that an affected child’s face be washed with warm water at least twice a day and patted dry.
Milia are deeply embedded in the skin. They are caused by skin cells that are trapped in small pockets near the skin’s surface. Normally, these skin cells would naturally shed, but instead they lock up and form very small, keratin-filled cysts that look like tiny white beads just under the skin. While most common under the skin, these small bumps can also occur on mucous membranes.
Although babies are simply born with milia, there are a few causes that can be pinpointed in adults. For example, using heavy, oily skin care products can cause it to develop. Overexposure to the sun for an extended period of time can also lead to their development. Likewise, certain skin disorders, particularly those that cause blisters, may be associated with the development of these bumps, and ruptured sweat glands may also be responsible. Unfortunately, however, some people are simply more prone to them due to genetics.
In most cases, milia fade on their own as the skin surface is gradually worn away. However, there are some instances where a person may want to get rid of them faster. An adult who feels embarrassed by their presence may want a quicker removal. If so, exfoliation can help prevent milia from forming and speed their exit.
To get rid of adult milia, some people visit a dermatologist and get microdermabrasion done. Others may try glycolic acid peels. At home, over-the-counter facial scrubs and peels can also be helpful. However, it’s best to choose gentle exfoliators at home to avoid damaging your skin. Also, those who are seeing a dermatologist should seek her advice before using an over-the-counter at-home exfoliator.
Sometimes, exfoliation isn’t enough and a patient will want to have the milia removed right away. For this, a dermatologist uses a sterile needle or lancet to open the skin on them. A tool called a blackhead extractor is then used to apply pressure, causing the cysts to pop out. This procedure can be done without anesthesia, as it is usually painless. However, it might sting a little.
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