{"id":14474,"date":"2024-11-12T06:13:04","date_gmt":"2024-11-12T06:13:04","guid":{"rendered":"https:\/\/diigital.press\/?p=12475"},"modified":"2024-11-12T06:13:04","modified_gmt":"2024-11-12T06:13:04","slug":"if-you-have-these-tiny-white-bumps-on-your-face-dont-try-to-remove-them-3","status":"publish","type":"post","link":"https:\/\/otrxio.com\/?p=14474","title":{"rendered":"If You Have These Tiny, White Bumps on Your Face, Don\u2019t Try to Remove Them!"},"content":{"rendered":"

As the outermost part of our body, our skin is completely exposed to the elements, so it makes sense that people all over the world, of all ages, experience various skin conditions. From psoriasis to eczema, most of the skin issues that we have are rooted in inflammation, but not every bump and discoloration is considered a skin condition worthy of intervention. Take milia for example.<\/p>\n

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If You See White Bumps on Your Skin, You May Have Milia<\/h2>\n

You may have experienced milia as an infant, but are unaware of it.<\/p>\n

A milium cyst, or milia, is generally caused by entrapped keratin (the protein that makes up hair, skin, and nails). It is most common in infants, with up to half of all infants developing it[1]. This is because at this early stage in development the infant\u2019s skin is still learning how to exfoliate. However, milia can occur in people of all ages when something clogs the ducts leading to the skin\u2019s surface, like an injury or a burn[2].<\/p>\n

Milia is often seen as tiny white bumps on the nose, chin, or cheeks, and can also be seen on other areas of the body.<\/p>\n

Though milia are seen in both infants and adults, the types of milia vary, and treatment is different for each and is very often not necessary. Milia is generally completely harmless and will go away on its own. That being said, it\u2019s important to understand how to identify these little bumps to understand if you should intervene or not.<\/p>\n

The Different Types of Milia<\/h2>\n

Milia types are classified based on the age at which the cyst forms or what\u2019s causing the cyst to develop[1].<\/p>\n

Neonatal Milia<\/h3>\n
\"milia<\/figure>\n

Neonatal milia develop within infants and clear up within a few weeks. Cysts are typically seen on the face, scalp, and upper torso[2]. According to the Seattle Children\u2019s Hospital, milia occurs in around 40% of newborn babies[3].<\/p>\n

Juvenile Milia<\/h3>\n

Rare genetic disorders, such as\u00a0Nevoid basal cell carcinoma syndrome (NBCCS), Pachyonychia congenita, Gardner\u2019s syndrome, or Bazex-Dupr\u00e9-Christol syndrome can lead to juvenile milia[2].<\/p>\n

Milia en Plaque<\/h3>\n

This type of milia is often associated with genetic or autoimmune skin disorders, such as discoid lupus or lichen planus, and it affects the eyelids, ears, cheek, or jaw. It is commonly seen in middle-aged females, but it can be seen at any age in either gender[1].<\/p>\n

Primary Milia<\/h3>\n
\"milia<\/figure>\n

This type of milia is seen in older children and adults. Cysts can be found around the eyelids, forehead, or on the genitalia. It may disappear after a few weeks, or last for several months[1].<\/p>\n

Traumatic Milia<\/h3>\n

Milia can sometimes occur on the skin where another injury (such as a rash or a sunburn) have occurred. The cysts may become irritated, making them red along the edges and white in the center[1].<\/p>\n

Diagnosis<\/h2>\n

Due to the fact that milia are quite visible, a dermatologist will visually determine if you have milia based on the appearance of cysts. Skin lesion biopsies are only needed in rare cases[2]. If you see similar little white bumps on your skin you may want to check with a doctor to deduce if you indeed have milia, and to decide on a treatment plan (if you desire one).<\/p>\n

Milia Removal and Treatment<\/h2>\n

Due to the fact that infant milia generally disappear on their own within a few weeks, there is no milia removal or treatment process.<\/p>\n

Milia in older children and adults disappears on its own as well, but some people may choose to treat it if there is some discomfort. Common practices include:<\/p>\n

    \n
  • Cryotherapy \u2013 Liquid nitrogen\u00a0freezes\u00a0the milia. It\u2019s the most frequently used removal method.<\/li>\n
  • Deroofing \u2013 A sterile needle picks out the contents of the cyst. This method is common for treating milia.<\/li>\n
  • Topical retinoids \u2013 These vitamin A-containing creams help exfoliate your skin.<\/li>\n
  • Chemical peels \u2013\u00a0Chemical peels\u00a0cause the first layer of skin to peel off, unearthing new skin.<\/li>\n
  • Laser ablation \u2013 A small laser focuses on the affected areas to remove the cysts.<\/li>\n
  • Diathermy \u2013\u00a0Extreme heat\u00a0destroys the cysts.<\/li>\n
  • Destruction of curettage \u2013 The cysts are surgically scraped and\u00a0cauterized.[2]<\/li>\n
  • Milia has even been treated using a paper clip, but it is recommended that the procedure be completed by a doctor and not attempted at home[5]<\/li>\n<\/ul>\n

    The following video shows a dermatologist removing multiple milia using the deroofing method.<\/p>\n