Painless Milia Extraction Treatment for Delicate Facial Areas

What is milia?

Milia are small, white or yellow bumps that may resemble whiteheads but aren’t acne. While common in infants, they can appear at any age and are usually harmless, affecting only your appearance.

Milia extraction treatment is a safe, dermatologist-performed procedure to remove these tiny cysts, especially from sensitive areas like the eyelids or cheeks, without damaging the skin.

Types of milia:

  • Neonatal Milia: Neonatal milia affect infants and appear as white bumps on the skin, usually on the nose or surrounding areas.
  • Primary Milia: Seen in all age groups, typically on the face or genitals.
  • Secondary Millia: Caused by burns, rashes, or cosmetic reactions.
  • Juvenile Milia: Inherited; may appear at birth or later.
  • Milia en plaque: Affects women 40–60; found on cheeks, eyelids, and jawline.
  • Multiple eruptive Milia: These milia are itchy, clustered bumps appear on the face, upper arms, torso, and upper abdomen.

For persistent or extensive milia, consulting a dermatologist ensures safe removal. The cost of milia extraction typically depends on the number and location of cysts. At Evenly, we offer customized milia extraction treatment plans with transparent pricing, so you know exactly what to expect in terms of extraction cost.

Causes of milia

Excessive sun exposure

Thicken the outer layer of the skin, trapping keratin and leading to milia formation.

Skin damage

Milia can develop after the skin is damaged due to burns, blistering rashes, or injuries.

Cosmetic products which clogs your skin

Oil-based creams, thick moisturizers, or heavy makeup can clog pores, increasing the likelihood of milia.

Lack of Regular Exfoliation

Not exfoliating the skin regularly can cause a build-up of dead skin cells, contributing to milia.

Newborns

Milia are common in newborns, where they are thought to occur due to immature sweat glands.

Genetic Factors

Some people may be more prone to milia due to their genetic makeup.

How we treat

Consultation

Consultation

A thorough consultation with our board-certified dermatologist to discuss the milia, its history, and removal options.

Investigation

Investigation

Disclosure of any health conditions, medications, and allergies.

Treatment Plan

Treatment Plan

Our dermatologists will create a personalized treatment plan as per your unique needs, sessions required.

Scheduled Sessions

Scheduled Sessions

The dermatologist will implement the recommended treatment to deliver accurate, safe and effective results. The procedure typically lasts between 15 to 30 minutes, depending on the severity.

Before and after results

Advanced milia extraction treatments available at evenly

Medications

Glycolic Acid and Retinoids – These topical treatments are often the first line of defense against milia. Glycolic acid, an alpha hydroxy acid (AHA), works by gently exfoliating the outermost layer of the skin, helping to prevent the buildup of dead skin cells that can trap keratin, leading to milia. Retinoids, derived from vitamin A, accelerate skin cell turnover, which aids in the expulsion of trapped keratin and encourages the formation of fresh, clear skin.

Radiofrequency (RF) Ablation

Radiofrequency ablation is a state-of-the-art method that uses high-frequency electrical currents to heat and remove milia. This technique is precise, effective, and minimally invasive.

  • Procedure: A local anesthetic or numbing cream is applied for approximately 30 minutes to ensure a painless procedure. A fine probe is used to deliver controlled RF energy to the milia, causing it to heat up and be removed with minimal discomfort.
  • Recovery: Minimal downtime; slight redness or swelling may occur, typically resolving within a few days.
  • Effectiveness: Highly effective with a low risk of scarring.

Surgical Removal

Needle Extraction – For individual or deeply embedded milia, surgical removal is a highly effective option. This milia extraction treatment is performed by a trained professional who uses a sterile, fine-tipped needle to gently puncture the milium. Once the surface is broken, the contents of the cyst can be carefully extracted.

This method is ideal for larger or more stubborn milia that do not respond to other treatments. The procedure is quick, typically requiring only a few minutes, and causes minimal discomfort. After the extraction, the area is cleaned and treated to prevent infection, and patients can expect a swift recovery with little to no scarring.

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Post care instructions for milia treatment

  • It’s normal to experience some mild discomfort or tenderness at the removal site.
  • Slight redness and swelling may occur in the treated area is normal and will subside in hours or a day.
  • Avoid sun exposure, strenuous activities and pressure on treated area.
  • Keep the treated area clean and dry.
  • Apply recommended products and bandages to protect the area from infection.
  • Avoid picking at scabs or scratching the treated area.
  • Apply antibiotic cream twice a day for 10 days.
  • If you experience any pain after treatment, take one tablet of Enzoflam.

Why evenly?

EVENLY

OTHERS

Experienced dermatologist

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Personalized care

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Convenient and safe treatment

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US-FDA approved machines

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Stringent (sterilization) and safety protocols

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Pre and post procedure care

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Still confused?

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FAQs

Milia are small, white or yellowish bumps that typically appear on the face, especially around the eyes, nose, and cheeks. They occur when keratin—a protein found in the skin—gets trapped beneath the surface. Milia are not painful or harmful but can be aesthetically bothersome.

Milia form when dead skin cells or keratin become trapped under the skin’s surface instead of being naturally shed. They can be caused by skin damage, sun exposure, certain skincare products, or simply the natural skin renewal process. Newborns, adolescents, and adults can all develop milia.

No, milia are often mistaken for whiteheads, but they are different. Whiteheads are a type of acne caused by clogged pores filled with oil and dead skin cells. Milia, on the other hand, are small cysts that contain keratin. They do not become inflamed or infected like acne can.

Yes, milia can sometimes resolve on their own without treatment, especially in newborns. However, in adults, they may persist for weeks, months, or even longer without intervention. If milia do not go away naturally, professional treatments can help remove them.

To reduce the risk of developing milia, practice good skincare habits such as gentle exfoliation, avoiding overly heavy or pore-clogging products, and using sun protection to prevent skin damage. Maintaining a regular skincare routine that includes cleansing and moisturizing can also help prevent milia.

It is not recommended to remove milia at home, as improper techniques can lead to scarring or infection. Instead, seek professional treatment, where trained specialists can safely and effectively remove milia using appropriate methods.

Topical treatments and chemical peels may cause mild tingling or redness, while laser ablation and needle extraction are typically performed with local numbing to minimize any pain.

Yes, while treatments can effectively remove existing milia, new ones can form over time, especially if the underlying causes are not addressed. Maintaining a consistent skincare routine and following any post-treatment care instructions from your dermatologist can help reduce the likelihood of recurrence.

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