MILIA - How to treat and prevent them | Dermatologist Perspective 

Almost 1M 🥳

I had milia just beside my tear gland for 2 or 3 years. It used to bother me so much but it was no way I could geti it out. Then my boyfriend of 2 years broke up with me and I cried and cried for days. THAT got rid of my milia !! It was worth loosing the guy I swear :)

Dr. Shah, born to be a dermatologist. Just listening to him talk about removing a milia omg I loved it!

"Why did you become a dermatologist?" "For the satisfaction I get from extracting milia."

The editing in your videos is getting better and better. Compliments to the editors. Very interesting topic. Looking forward to Doctorly reaching 1M subscribers

I love what you guys do, it's super helpful! I know of people friends and family commenting on milia but they are often confused about treatment. Please keep up the amazing work! ❤

Congratulations on 1 MILLION Drs!! 🥳🎈🎉🎊 Love your channel!!

I've only been bothered by milia a few times and I'm ashamed to admit that I just scratch at it lightly until it comes off. I go all obsessed whenever I feel any texture on my skin. I'm a picker. Not aggressive just persistent until it's gone. I'm lucky it's never scarred me.

So, I didn’t really have the worst skin ever…. however I’m in my late 30’s and it was showing!!!!!! I found you all last year and I am so thankful I did. I would have never known about retinoids, vit c, hyaluronic acid , etc. Guys, I am GLOWING lol. I have referred your videos and tic toks to my family and friends and they are so happy I did! You all are amazing. Thank you for sharing your wealth of knowledge with us.

I didn’t know what milia was, nor do I have that problem. I just watched this because you two are so wonderfully entertaining! Great post.

Congratulations on the 1 million subs. You guys deserve it!! 🤗👐

Congratulations on 1 Million subscribers!! Well deserved!! The amount of people you two have helped out is a true blessing 😊

I had one on the side of my eye for ages, it was driving me crazy. I tried to squeeze it and it never worked. Then, I learned about milia, but I couldn’t justify getting a professional extraction for a single tiny bump. I got an extractor, nervously poked the skin around it, pressed…and in 10 seconds, the milia of an entire year was gone. It was almost too quick, I could barely process what’d happened.

Went to a dermatologist for the first time today. I was shocked they removed two in seconds and scheduled an appointment to remove a fibroma. It's so great to have a smooth face again!

I use to get scars all over my face from trying to extract milia. I found using less products that exfoliate the skin like salicylic acid, Retinoids, helped reduce mine. Using higher quality moisturizer helps too, skin plumping hydrating ingredients. Hyaluronic acid, ceramides, peptides, pure cold pressed oils like olive, or peanut. Finally got rid of the clusters on my cheek bones.

I’ve watched this video twice because I currently have a milia in my lower right jaw line. I love the dynamic of these docs and always defer back to their videos when I have minor dermatological issues.

I'm late to this video but I know precisely what causes mine. I get them on my lower lash line. I figured out it was eye cream, especially thicker types. Years ago, I read an article that advised the use of a BHA toner to eliminate milia. You just have to be consistent, every single day. I used a drop of the toner on a Q-tip to carefully clean the area. Now I use a toner once a day and carefully swipe under my eyes with a cotton pad. I haven't had a milia since. I usually use Soap & Glory's Glow Toner, it has beta hydroxy acids and is reasonably priced. I have just switched to a lactic acid toner and it seems to working just as well.

1 million subscribers!!!🤝🤝 Listening to Dr Shah explaining how he extracts milia is already therapeutic!

I found you guys for looking up keratosis pilaris and by chance I found this video too. I have these around my eyes and for the longest while I didn’t know what to google because indeed you can’t pop them. I even just began to assume they are small warts. You guys are a game changer, I can’t thank you enough!

Awwwwww,1M!!!!! Congratulations 🎊 👏 💐 Love a lot your channel, very professional smart and always smiles!! Thank you 👋💖

Best Dermatologists on RU-vid! Appreciate the eye candy Doctors!

Perfect topic!! Thank you! I have one under my eye that’s driving me crazy.

Congrats on 1M!!!!!!! LOVE YOU GUYS !!

Congratulations on 1M subs!! Well done Docs!!

Skin type: fair, thin, easily reddened, normal to dry. I've only had 3 - 4 milia. They went away after soaking my face under water (bathtub) once a day for 5 days to 2 weeks. After bathing I made sure I moisturized well. I got rid of my infant niece's milia by massaging her little nose gently with jojoba oil after first very gently wetting the area with room temp. water. I wet her nose to moisturize the skin; I gently dried the area; and then I immediately followed with massaging jojoba oil into it 1 to 2 times per day. I got rid of her minor cradle cap that way too. I would then gently brush the cradle cap area briefly with a soft baby's hair brush, starting on day 3 or so. We have very thin skin in our family though, so it may not take as long to clear up these skin problems on us as it does for those with thicker skin. For my milia (not my niece's) and the prevention of 80% - 90% of my zits, I've noticed that leaving sweat on my skin is a major culprit. The sodium in the sweat dries out my skin which leads to all kinds of problems including multi-pore zits. (This definitely causes my non-hormonal zits, my present theory is that it also seems to bring about the milia when conditions are right.) When my skin gets too dry from sweat/dry air/skipping a wash and isn't gently exfoliated every 3 days or so, skin problems ensue. To prevent this, in winter (ND/MN) I use a heavy, moisturizing cleanser 2x/day. Every second or third day or so I really clean off the residue from the heavy cleanser (and lotions/oils) with a gentle gel cleanser and make sure to exfoliate so that the cleanser's residue (that locks in moisture most days) doesn't build up and cause dead skin cells to block my pores. I'll use moderately rich moisturizers/lotions in winter, sometimes with hyaluronic acid, to lock in moisture as well. And I try to keep the humidity in my place at 40% minimum. I have to rewash/moisturize if I've been outside in dry, cold air. I've had luck with collagen masks as well. They aren't essential, but they feel great afterwards and really moisturize my skin. I can't emphasize enough to young ones in sports: get that sweat off your skin pronto. Gently, and regularly. Make sure to include your hairline and then moisturize. Ask for help finding the right cleanser and moisturizer if you're having trouble. I'd do far better at this if I were that age again than I did my first time around. Good luck all! (Some people's skin is easily affected by the food they eat as well. Read about ayurvedic medicine if you think yours might be. It helped me a lot, esp. in summer weather.)

I had gotten a Milia on my upper waterline awhile ago and it was actually pretty painful because it would rub my cornea. I always take off make double cleanse etc with non comodogenic cleansers that are eye safe, so I was confused as to how I got one. But anyways I almost always have sterile 18 gauge needles lying around becasue my horse has allergies and I give her immunotherapy every month, so I just took one of the needles and poked right on top and it popped right out. All was well and it healed great, and then I developed my first ever stye in the same spot but by that point I figured out my mascara was expired so I got new stuff and got antibiotics from my ophthalmologist and now I'm all better. But just make sure yall get new mascara frequently!

Been waiting for this one, thank you!😫♥️

Thanks for educating us on this. I have always wondered about the cause, prevention and treatment. Now I know better

I get milia on my eyelid and under eyes, cautiously using chemical exfoliants, like salicylic acid and glycolic acid, has helped me prevent more milia but also helps with any that are already present. I always attributed my milia to my oily skin, but my son gets milia on his cheekbone just below the under eye area and I have noticed he gets them from roughly rubbing or tugging his skin.

7 minutes straight to the point thank you for this 😭❤️

🥇 and the awards go to …. You guys are amazing! Best dermatologist ever!!!

OMG 1M ALREADY!!!! CONGRATS 🥳❤️

I have had milia develop all over my face. I use a sterilised needle to break the skin and dig them out. It is amazing how big they look while under the skin compared to how small the actual milia is once extracted.

Yes, something that definitely worked for me, was using a lactic acid body exfoliator called “ameliorate” (rose scented) on my face every morning and night for about 2 months - then at once I could squeeze ALL of them out within the week!!! Just need some patience and it’s all done for free!! 🎉🎉🎉

🎉🎉🎉🎉Congratulations on 1 MILLION subscribers!!!! 🎉🎉🎉🎉

Just what I needed today!! ❤️

I’m pretty certain my milia is caused partly by genetics since my dad has it. Ive tried exfoliating and using a retinol eye cream and I think the eye cream kind of worked but I still have a couple that have poked through! I have a weird tip for anyone who finds a brand new milia, I put a pimple patch on one once because I thought it was a new pimple forming, when I took the patch off in the morning, I gave the area a light squeeze and a milia popped out!! It was amazing. This only works on milia that are just forming though, usually when it’s still slightly sore and you can’t tell if it’s a pimple or milia yet

I had one on my eyelid that disappeared on it's own after I removed dairy (had an intolerance test done).Told my brother about it and tested himself for dairy,and came back positive too.His also disappeared after getting off dairy.

just what i needed to watch today! thanks guys

I love you guys,I learn so much, whenever I watch your channel,You guys rock!

I get the feeling that these two are really into skin care and each other. Nice chemistry! 👍🏾😇

I’ve gotten a few out at home myself 😬 I use an extraction kit and make sure everything is clean and sanitized, before anyone comes for me. It is SO satisfying!! The consistency of them is so weird when they come out, like a tiny marble.

Yay! Thanks as waiting for this video. Thanks you guys rock !

Thank you! Perfect information I do have some Milia but with a better skin care routine I can help clear it! You both are awesome

ALMOST AT 1 MIL!!!!! LET’S GO!! and woohoo finally this topic! I used to have a couple milia bumps around my eye. That was when I was using a thicc eye cream and no sunscreen. Too much richness around there! Now I just skip the expensive eye cream and take my moisturizer up to my eyelid area and it works great! + sunscreen daily of course!

There’s definitely a hereditary component, since my dad, me and both of my brothers all get a few of them around our under eye/cheek area. I began using a spin brush when I wash my face (I know it can be taboo to use physical exfoliation, but I strictly avoid using any chemicals on my skin, so this is the best option for me) and after several months my largest and most obvious milia finally fell off on its own! I was thrilled. 😊 The other ones I have are much smaller and honesty not very visible at all, so I feel much better about my skin’s appearance now. ❤

Thankyou for explaining in an easy way. Love it.

Thank you!!!!!!! Been asking for this one 🤗😄😃

They're usually not itchy or painful. However, they may cause discomfort for some people. Rough sheets or clothing may cause milia to appear irritated and red.👍

I remember having milia years ago. I never touched them. I guess exfoliating really did help because I changed my skincare routine. Just by chance.

Loving your channel 🤗, your advices are so helpful, especially using retinoids. Now i have also my dewy skin, thanks Dr.Shah 😄 greetings from Germany

You guys are delightfully weird. I love your videos so much. Fun to watch AND I learn a lot from you!

I get some around my eyes, but had one right on my eyelid for years until recently. I just woke up one day and it was finally gone! I extracted a few myself, but I couldn't see how anyone would be able to extract one right on an eyelid, so left it alone.

Do you take requests? If so - could you please do a general overview on post surgery wound care? What should we look for at the incision sites that could be part of "normal" healing but to us non-doctors look super gnarly and scary lol Thanks, guys!!!

congratulations on 1M subs!! 🥺💜🥳

Those smiles! My goodness! 🥰

Thank you. What about the small red dot? What causes them and how to get rid of them?

Thank youuuuuu!!! I have them so often!! Thank you! I actually had them less on my nose cause of retinoid! But around the eyes is a little tricky..cause I don’t want to put retinoid on my eyelids

Enjoyed this video and discussion. Thanks doctors.

Just love your videos thank you keep them coming

Please do one on best winter moisturizers. Either ingredients to look for/avoid or actual product recommendations would be amazing. I know I can’t be the only one dealing with dry winter skin already.

Every 6 weeks I go to a beautician who treats the milias first with vapor then score it with a sterile blood lancet and squeeze it out carefully. They become less since I use BHA+AHA-treatments regularly.

Very useful video! Keep it up! Can you do video about different kinds of acids and how to use them? Greetings from Bulgaria!😊

You guys are both informative and funny! Liked it. 🙏🇫🇮

I've had millia my whole life. They eventually go away on their own, but can hang around for months. I get them extracted when there are heaps of them, but otherwise I just accept them, I think being around the eye, they don't really make you look dirty or anything. (Not that other skin conditions should be judged by people either). My beauty therapist told me its common with people who have eczema and asthma (I have both). I haven't read the research, but I wonder if it's related to my dustmite allergy, since that's what triggers my eczema and asthma? Would love to hear thoughts. Thanks for the video!

Great video! I used to get milia under my eyes. Something in my moisturizer was causing them. But they came out quickly once I started using adapalene, salycilic acid cleanser, and 10% niacinamide. They would rise to the surface and wash away. Now I keep using those and they haven't come back thankfully

Congrats on 1M 🥳🥳

I was wondering whether I have it or not because it is not around the eyes area...and now I know...thank you doctors for your videos ❤️

Milia is my favorite extraction especially on the eye lids! SOOOO satisfying!

Loving your story of excitement of extracting these for people 😂😂

My mom struggles with this. Thanks for the needed info.

You guys cracked me up ! So fun how extracting stuff makes everyone so happy ahahah ! I have some on my nose and it's so annoying to me ! And I use retinoid and BHA regularly

I used moisturizer that was very greasy..but funny thing is that not only did they get wayyy worse but I'm also having symptoms of ovarian cysts...could hormones be the culprit? And p.s. I live in Oregon it's not to much sun here😒

I am too late to the proper skincare game! Previously, I would look up any influencers' recommendation on skincare and products. Once I found Dr. Dray, Dr. V, Dr. Maxfield and Dr. Shah's Doctorly, Dr. Daniel Sugai's channels, I have stopped watching influencers like Hyram, James Welsh, and others. I would trust the advice and recommendation of the dermatologists who studied skin for 12 years and literally in practice treating patients (theory + experience) more than influencers. Thank you. Thank you. I cannot be grateful enough for you Dr. Maxfield and Dr. Shah. I feel like I wanna send you a gift. 🙏

Congratulations on 1million subscribers 🎉🎉

I got milia needles and they go in so well and press them out. Super easy

I think I had milia under my eyes a few years ago- not directly under, they were at the bottom of the "eye bag" area- and they weren't going away from months. one day I *very careful* applied my lactic acid serum to the area and repeated each evening. within a week they were gone and never came back again ! not sure if that's recommended but it certainly worked for me lol

I tried an extraction at home and it hurt soooooo much 😭. I realized thick moisturizer under my eyes made it worse. I switched to an eye serum and eye cream and some went away over time. I finally went to a dermatologist and they numbed it and extracted most of them. I still have a few small ones, but I'm okay with that. Also, they prescribed Retin-A which is helping since it's an exfoliant. It takes time, but I'm okay with that, too.

Officially 1M!! Yeeeeey! 👏👏🥳🎉🥳🎉🥳🎉🎉🎉 Also... That flying finger ☝️ being waved around like it's a trophy for the extraction 🤣🤣 Love you guys❣️

I get melia from time to time, and I use needle to make small opening. It doesn't hurt unless you pin the needle to hard or deep.

Could you do a video on combining different skin care ingredients in your routine? Like for example vitamin c and retinol? I've read so many different opinions on that.

Once I started adapalene and regular chemical exfoliants they disappeared and don’t come back. Never would have known without all the advice of the RU-vid derms! Thank you!

OMAGAAAASH THIS IS WHAT I NEEED. THANK YOU !!!!!!

Milia are also my favorite things to extract Dr. Shah!!! I totally get your excitement!!

I had 4 of the milia. The largest one my derm removed was between my eyebrows. I told him I had started an OTC retinol. He said to keep using it on the smaller ones. I did and within 5 more weeks of use the 4 small ones were gone.

How is Dr. Shah that beautiful? He is like a male version of a Barbie! He is a gorgeous man! That skin! Those eyes! That perfect beard! That voice! The Lord must really love this man! He is beautiful and helpful with people's skin care to make them beautiful! I just watch these videos to see if his perfection improves...don't think it's possible...but I still have to check! Wow! 😂💓💓💓😏😍

Thanks for another great video

adorable, and informative. Hooked! thx guys

I have one right by my eye near my tear ducts. Scared to mess with it. Any ideas on how to address that without the risk of injuring my eye?

I had it for the first time some weeks ago. And it’s also the first time I’m following a skincare routine from dermatologists in social media. My skin never liked anything on it and was always perfect. I’ve started using some products to fight aging spots, but my skin still feels amazing and very balanced. Makes me think how even widely acclaimed products in social media can be bad for some people.

You guys are the best!!

I just got one I use Retin A faithfully but I went on a trip and skipped a week sooooo...maybe that caused mine...am going to leave it alone and restart my Retin A. I did not do eyeliid area for many years but started carefully every third night then every second then was able to tolerate every night. Getting back to it tonight and hopefully it will go away on its own. LOVE your channel guys, watched it early, you are doing well!

Can you talk about acne scars?! I’ve been using salicylic acid and vitamin C and it’s helped a lot, but there’s still stubborn spots from years ago! My skin is great besides the scars on my chin.

I get these dang things all the time, but they're so close to my eyes (often somewhere along my eyelids) that I can't do anything about prevention. But I also get big cysts on my scalp, so I'm assuming it's a whole genetic thing. Between my PCOS, hypothyroid and all their symptoms, I just won the genetic lottery!

Seeing Dr.Shah vedios we get a hope that their are still good doctors up to help us.

Very good information!! Thanks

Thank you for this but could you tell us exactly what cleanser to use, what not to use and what moisturizer to use to eliminate milia. Also is there a tool we should order and if so which one? I do use a retinoid at night but I can’t use it around my eyes or eyelids and I just recently had a milia in my eyelid. Would love specifics and if you can also share clean beauty products too for milia and skincare in general too. Thank you

I had one on my lower lid water line and I kept thinking it was a stye that would eventually go away. But once I realised it was milia and I couldn’t really put SA in my eye, I pricked the skin with a clean needle and used two q tips to extract it. Don’t be mad at me lol. The little keratin ball was like a sprinkle lol 🍩 it was soooo satisfying haha

I didn't know that I needed to know this!

They make such a wonderful couple, they should be really proud.