Introduction. Milia (milium - singular) are small, sub-epidermal keratin containing cysts. They mainly arise from undeveloped sebaceous glands, and sometimes from sweat glands. Milia are very common and present as small pearly-white bumps just under the skin surface and most commonly around the eyes. This chapter is set out as follows:
The actual process of removing milia is called de-roofing. A dermatologist uses a needle to remove the flap that's trapping the keratin in your skin and pluck out the keratin itself.
Milia en plaque This is a rarer type of milia that develops on a raised and inflamed patch of skin called a 'plaque'. Multiple eruptive milia Another rare type of milia where clusters of milia appear over the course of a few weeks or months. This type of milia most commonly appears on the face, upper arms and the upper half of the torso.
How does a dermatologist remove milia? The most common procedure for milia removal is de-roofing. Dermatologists use a sterile needle to remove the tiny flap of skin trapping the keratin flake inside the pore. They then squeeze or prick out the flake. A less-common practice is curettage, which is a form of electrosurgery.
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how do dermatologists remove milia