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Milia

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Milia are small, white cysts that develop when dead skin cells become trapped beneath the skin’s surface, forming hard, pearl-like bumps. Although harmless, they can be cosmetically bothersome, particularly when they appear on visible areas such as the face, around the eyes, nose, and cheeks.

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.
A dermatologist performing a milium removal procedure on a patient’s face using a specialized tool.

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
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449 reviews
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James Craft
September 23, 2026
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favorite dermatologist hands-down. Highly recommended.
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Danielle Glenn
September 16, 2026
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I have been going to Metropolis Dermatology for about two years now, and it has been, and continues to be, a wonderful experience. The staff are always friendly, thorough, and welcoming. They make everything run so smoothly, and I appreciate how prompt they are in answering any questions I have. But the star of the show is Dr. Shauna Higgins! I could spend all day writing about what an incredible physician she is. She is the kind of doctor people wish for. She’s incredibly caring, so attentive, and extremely knowledgeable. At every appointment with her, I walk out feeling seen and heard, and I always leave with a smile on my face. Prior to coming to her, I was struggling with my skin in many ways, but she has completely fixed all of those issues! If I could have her as all of my doctors, I absolutely would.
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James Bond
September 16, 2026
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They have snacks, tea, coffee , and water for you. The staff is very nice and pleasant. One staff suggested a nice restaurant and bakery . Dr. Higgins is excellent and has great communication skills. I asked a few questions and she gladly answered. Some doctors are short and blunt and you don't feel comfortable asking questions. I'm glad Metropolis is not that type of medical facility . The staff are courteous, the place is clean and they have snacks!
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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!

 

 

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