Milia Treatment & Management

Updated: Mar 10, 2017
  • Author: Charles M G Archer, MBBS, MRCP(UK); Chief Editor: William D James, MD  more...
  • Print
Treatment

Medical Care

No topical or systemic medications are effective on primary and secondary milia. Single case reports have demonstrated the success of topical tretinoin [20] and oral etretinate, [21] and minocycline in treating patients with milia en plaque.

Next:

Surgical Care

Milia can be safely left alone, but if the patient requests treatment, then incision with a cutting-edge needle and manual expression of the contents are effective. [22] This can be performed without local anesthetic. A paper clip has been successfully used to express the contents of the cyst. [23]

Milia en plaque has been treated effectively with electrodesiccation, carbon dioxide laser, [24] erbium:YAG laser, [25] dermabrasion, [26] and cryosurgery. [27]

Previous