Pediatric Milia Treatment & Management

Updated: Apr 08, 2016
  • Author: Nicholas V Nguyen, MD; Chief Editor: Dirk M Elston, MD  more...
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Treatment

Medical Care

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.

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Surgical Care

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.

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Activity

No restriction of activity is required.

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