Colloid Milium Treatment & Management

Updated: Jan 31, 2020
  • Author: Gorav Neel Wali, BMBCh, MA, MRCP; Chief Editor: Dirk M Elston, MD  more...
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Approach Considerations

For colloid milium, no treatment is available that is entirely satisfactory.

Dermabrasion, [20] cryotherapy, and diathermy have been tried with limited success. Advice about sunscreen use may also be helpful. Systemic ascorbic acid and exfoliating agents have also been tried with variable results. The Er:YAG laser may be more successful for colloid milium than dermabrasion. [21] A nonablative 1550-nm erbium-glass fractional laser [22] and a fractionated carbon dioxide laser [23] have also been used to treat colloid milium successfully. One case report describes successful treatment with photodynamic therapy using methyl-aminolevulinate (MAL) cream as a photosensitizer. [24]