
At Metropolis Dermatology in Costa Mesa, CA, we offer specialized treatments to remove milia safely and effectively, helping restore smooth, clear skin.
What is Milia?
Milia are tiny, firm cysts that develop under the skin due to trapped keratin (a type of protein found in skin cells). Unlike acne, milia are not caused by clogged pores or bacteria and do not become inflamed or infected.
Types
- Primary Milia: Common in both infants and adults, developing without an underlying cause.
- Secondary Milia: Occurs after skin trauma, burns, rashes, or excessive sun exposure.
What Are the Causes of Milia?
Milia form when dead skin cells fail to shed properly, becoming trapped beneath the surface. Several factors contribute to their development:
- Skin Damage: Burns, rashes, and excessive sun exposure can lead to milia formation.
- Heavy Skincare Products: Using rich creams, occlusive ointments, or long-term topical steroids can trigger milia.
- Aging: As skin loses its natural exfoliation ability, dead skin can accumulate, increasing the risk of milia.
- Genetics: Some people are naturally predisposed to developing milia based on their skin type.
What Are the Symptoms of Milia?
Milia are typically:
- Small, white, or yellowish cysts, often found on the cheeks, forehead, or around the eyes.
- Firm to the touch, unlike pimples, which contain fluid or pus.
- Painless and non-itchy, making them a purely cosmetic concern for most individuals.
What Are the Possible Treatments?
While milia often resolve on their own, some cases persist for months or appear in areas where they do not fade naturally. At Metropolis Dermatology in Costa Mesa, we offer several removal techniques to address stubborn milia safely.
Common Removal Treatments
- Cryotherapy: A freezing technique using liquid nitrogen to eliminate the cyst.
- Topical Retinoids: Prescription creams that encourage skin cell turnover, preventing new milia from forming.
- Extraction: A dermatologist performs a precise incision and manually removes the cyst, ensuring minimal scarring.

FAQs
Are milia harmful?
No, milia are completely benign and pose no health risks.
Can I remove milia at home?
It is not recommended to remove milia at home, as improper extraction can cause skin damage, scarring, or infection.
How long do milia last?
Milia can last weeks to months. In infants, they usually clear on their own within a few weeks.
Can milia be prevented?
Regular exfoliation, avoiding heavy skincare products, and wearing sunscreen can help reduce the risk of developing milia.
What is the recovery time after milia removal?
Most patients resume normal activities immediately, with only minor redness in the treated area.
Hear from
Real Patients

Schedule Your Consultation Today!
If you have persistent or bothersome milia, professional extraction ensures safe and effective removal without scarring. At Metropolis Dermatology in Costa Mesa, CA, we offer customized treatment options to help you achieve clearer, healthier skin. Schedule a consultation today to discuss your options for milia removal!