Preventing and Treating Milia

milia before treatmentThe  little white bumps under the skin came back.   Called milia, they  develop when keratin gets trapped under the skin and form  at the base of sweat glands  or hair follicles.  They look  somewhat like pimples  but do not have the oil and bacteria found in true acne. And unlike acne breakouts  which have a  lifespan of a week or so, milia can last  for years.  They are painless and don’t itch, but please  don’t try to remove them yourself.  Milia go very deep  and  can scar if improperly treated. 

Dr Marmur started by numbing the area with a bit of lidocaine.  She used  an electric Milia removedneedle to nick the top and pressed a comedone extractor over the area.  Thanks to the lidocaine, I felt nothing.  Next day I had … Continue Reading…

Milia – those annoying white bumps under the skin

Its amazing what you can learn at a medical conference.  At a lunchbreak at the recent Mount Sinai Derm meeting, I sat down next  to two young dermatologists.  They were  talking about milia, those little white bumps under the skin– sort of faux pimples. ( In the picture below my milia is under my eye). Milia are formed when a pore becomes blocked with dead skin cells.  They are more common as we get older,  the result of slower cell growth.  Unlike the garden variety pimple, they do not contain oil or bacteria  so they don’t become red and inflamed.   Milia  just sit there. Forever.

Another important difference, milia are actually  in the dermis and if you try to  remove them yourself, you  can do real  damage to the skin. Seriously, you … Continue Reading…