Treatment of congenital milia is not necessary as these lesions have a tendency to spontaneously resolve. When multiple lesions are present in older children, topical retinoids may be effective.
Milia are easily treated with simple surgical interventions. These procedures are not painless; however, anesthesia is not needed for most patients. A small incision is made with a No. 11 blade or hypodermic needle. A comedone extractor is used to apply tangential pressure and express the contents. Other instruments may also be used including the blunt side of a curette or even a paper clip.
No restriction of activity is required.