Milia Q&A w/ a dermatologist: peels, lasers, extraction, tips 🔬🙆 

SOOO glad to find this, I'm 54 and milia has been the bane of my existence for decades! Hard to find reliable info on this. Thanks for posting!

The short version: There isn't much that can be done for milia at home, see a dermatologist.

she looks like Nancy from Stranger Things

Fortunately, I have not been troubled by this issue, but now I know just to head to the dermatologist! Thanks for all your tips and sensible info I know I can trust. I have been washing my face, leaving it wet, applying Hydroboost and my Cerave moisturizer and my skin is so happy and looks great. I never go without sunscreen and purchased the cutest SPF 50 hat for wearing around town. Keep the videos coming ~ we love them!

Love your videos Dr. ! Thanks for the honest and fact based information.

Lazer treatment against milia - Ive had milia since i was 13 or so, and ive had them removed everyother year for 13 years now with lazertreatment. So basically what happens is that the doc uses this lazer pen and burns the milia to the root. It hurts quite alot but for a very short time so i prefer that way much more than the needle. Also one side effect is that it takes about 1.5 weeks for it to heal so youll walk arouns with 1st degree burns on your face for a few days untill you can remove the dry crusts. Dont remove these too early as it may cause scaring. Also if you do remove them too fast ive found that they appear again after a while on the same spot. So let it heal and let the crusts fall off by its own or by a gentle touch. I hope this information may help anyone in need.

Dr. Dray, thank you for these Q&A videos. Have a great weekend!

Thank you for your video! How do I go about choosing an eye cream(or good things to look for in the ingredients) that doesn't cause/make milia worse?

Fantastic information! Thank you for your candidness and expertise. So glad to have found your channel :)

Thanks for posting this. I just wanted to share that, years ago I got an eruption of milia all over my chin. My dermatologist put me on Tazorac cream at the highest strength for 6 months, and it was hell, because I had acne as well, but they all went away without scarring and have never come back since!

I always refer to you as my "online dermatologist" to friends and today I went to my "real dermatologist" for a follow up appointment for my acne and she was so impressed with how clear and beautiful my skin is! Yay Differin! Simplifying my skin care routine has done wonders for my skin and I have you to thank for that!

You’re an amazing woman. Thank you!

I found I got milia under my eyes with heavy eye creams. After I stopped those they went away

Pretty cool that they put a facial skin cancer commercial on before your video. First time I didn't skip an ad. Thank you for talking about milia today! Very informative and much appreciated. Great video as always 😊 have a great weekend!

I recently had the electrosurgery at my dermatologists office to get rid of sebaceous hyperplasia on my face, and after only two weeks my skin looks great! Other than a bit of redness where the spots were, there is no sign of bumps/rough texture anymore! This is the only thing that has worked and now I use different to help prevent them further. While it was uncomfortable for a couple seconds (no topical anesthetic), I highly recommend it!

Great video again👍🏻 I’ve had milia for about 13 years I had Fraxel laser that took them away but after a few months they came back. I definitely believe eye creams has caused them. So no more eye creams unless it’s a light gel based. What do you think Andrea about gel eye cream? My Dr gave me Retin A to use for a month then come back in for removal. I am still using Retin A but have not went in for removal. I am soon as holidays are over. They are very noticeable and of course to me I see them over anything else. I had used a collagen serum and feel it caused them in beginning. As our eyes show age first the milia does not help at all. Thank you for your information and sharing. You are my go to for every skin issue👍🏻♥️

✨Love your videos! Have been religiously watching all your uploads. Learning so much from you and so stoked to have finally found such quality content! Cheering you on from Australia! ♥️♥️♥️

Just the right video I needed. Thanks Dr Dray

"Or a butcher's knife!" Haha that is the best thing that I have heard all day! Have a great weekend!

Very helpful and as always, so enlightening - THANK YOU

Thank you do much for this I have milia under my eyes and it's been bothering me so much ..

Hello i'm using a PHA moistrizer cream by COSRX as a night cream and i have milia in my eye area . so is the pha good or bad for milia ?

Dr. Dray, appreciate your vlogs especially with medical overall info. Helps me make informed choices.

Thank you for this information. Milia is a problem that has been frustrating me and now I know why it doesn't resolve! Thank you for sharing this information.

Dr.Dray, you are so appreciated for sharing all your knowledge with your viewers! Thank you again. Love and Light 💖Carli

thanks a lot for oily skin care routines! lots of love!!💕💕 keep em coming Dr!! do you have any opinion on Neutrogena hydraboost Chinese version! yeah that sounds weird hehehe

I use sunscreen, yet I have a lot of them under my eyes. I’m guessing from sun damage from when I was younger. My daughter is very skin conscious and has gotten them randomly on her face her whole life.

Really enjoy watching your videos every day! So interesting and helpful. keep it up :)

Wow, thank you! This was so informative and helpful. I started getting these a couple of years ago. Your video was the best overall info that I've found.

This overview is very helpful! Such a frustrating skin issue... also you new hair cut is smashing.

To save you time basically, do not try to remove them on your own use spf to prevent and go to dermatologist for treatment

Helpful video. I have a small milia and since using tretinoin it has gotten smaller...I think that in another 3 or 4 months it will be gone. Cute hair Dr. Dray,

Hi Dr. Dray! I understand these can't be removed at home but any suggestions for milia in the lips? Maybe just to soothe them a little?

I'd love your take on how to treat both at home and in office sebaceous hyperplasia.

Very helpful, thank you!

Dr. Dray!!! Because of how accutane “resets” pores to act normal, will accutane also get rid of/fix milia during its process of fixing acne as well??

have a great weekend dr dray! :)

Thanks, really needed this one

Dr Dray you’re so cute with short hair!!

Thanks for another great Q&A! Butcher knife, ouch lol. I hope your Friday is going well!

First, I love and really appreciate your videos. I'm so interested in skincare, and it's really cool to get info from a professional who's so real with her comments! I'm especially interested in all of your Asian beauty reviews :) (I'm all for putting weird things (snail secretion!) on my face if it's helpful, but it's often hard to find out what ingredients are trendy and helpful vs. what's just trendy. Sorry for the completely off-topic question--do you use bimap/something like that? Your eyelashes are amazing, and they've been looking even longer lately. Also, if I don't really have an acne problem, would you still recommend Differin as a retinol for anti-aging? Thanks!

I was so very glad to find your channel. I appreciate information from someone that delivers it in an enjoyable way. I know this isn't quite the same issue probably however, how would you address the bumpy patches that occur on skin like shoulders top of back in particular. I think the name starts with the letter K but not positive. I have read several articles about people retina this with Donell Body Tingle. I think it has 20% glycolic acid which is the active exfoliating ingredients. I would appreciate your opinion on this. Thank you for all the info you provide your subscribers. Have a good weekend. Thank you. Kat

I really do appreciate your expertise and all the information you provide. I am super grateful that I came across you on RU-vid and the gram. 😚😚😚😚

Thanks for this video, Dr. Dray. I enjoy all of your videos and greatly appreciate you taking the time to share all of this information with us! Have a great weekend! Rita

Hi Dr.Dray!!! Love ur videos and specially ur advice!! ... Is it truth that One of the causes of Milia can b using oils or creams too greasy? And what do u think of using Glycolic Acid from The Ordinary to remove’m (tapping’m with a q-tip?)

If you have milia PLEASE do not use MAYBELLINE FIT ME CONCEALER it will make more milia

Thank you so much for this! Should certain moisturizers or creams be avoided (i.e. Does that contribute to formation)? I have been hesitant to use under eye cream for fear of getting more milia! Thank you!!

Got my vitacost haul today 😊Happy weekend.

...this has nothing to do with the video but I love your jawline

I have milia around the eyes, on my cheeks, behind the ears, arms , neck and chest. On doing skin biopsy they came up with the conclusion that I have DLE. Also, I suffer from alopecia. Any advice would be of great help.

Thank you Dr. Dray-very informative.

Suuucks, I've had one little milia on my right eye lid for a few months now and it bugs me like crazy :( Takes everything in me not to poke or dig at it. I thought it was a stye at first but it doesn't appear to be leaving lmao I can't afford a derm and there's only one in my city with a crazy wait list (2yrs or something like that)

Hi, I have large flat milia that are super hard and visible when I pull my skin tight. I'm on my second course of accutane and I started noticing them during my first course. never had it before. they're absolutely vile and in bad lighting they resemble pitted scars because they ruin my texture. I use sunscreen, I honestly do everything right while on accutane. they're huge, unsightly, and driving me nuts. is this common?!

H i Dr.Dray, Thank you for referring this video to me. I appreciate your honesty. I see a dermatologist regularly. I have systemic lupus & have flares of the malar rash along with rosacea. I will consult with her. Take care & have a good week end! Debbie

I’ve been using Cerave (tub version) on my face and I have been having issues with Milia. And I just learned milia occurs from petroleum, and that Cerave moisturizer has petroleum in it. Is this true petroleum causes milia?

Thank you for this video! Unfortunately I’ve been struggling with milia my whole life. I read in the comments that moisturizers do not cause milia but what about makeup? I’m very good about removing my makeup before bed and I don’t wear it as often.. but could makeup cause milia? Also should I be opting for oil free products or does that have no effect at all? Thanks again💘

sad im the rare case of someone being born with facial milia and getting it my entire life

Thanks Dr. Day, swear I get Millia everything I used a new eye cream which I will never use again thank to your advice.

I feel like she is my skin’s mother and I’m the babysitter.

I've had two facials at a derm to extract milia and was prescribed finacea foam. I find after I use the foam I can remove some on my own. Do you recommend the foam?

Hi Dr. I'm a subscriber from Angola in Africa 😊 I really loveeee your videos, they are very informative and interesting. I'm a 35 yrs old and still fighting with stubborn acne special in my chin area. What are your thoughts on oral antibiotics to treat acne? All the best👍👍

THANK YOU for the milia information. Did I understand that there is any cleanser or moisturizer that will help while I wait for an appointment??

Thank you for all you do

Mam it increases day by day how could i stop thr growth it seems really very bad on my face plz guide what to do?

I just had 2 milia removed by my dermatologist. They were on my forehead and chin. I had never had this before and they appeared after my face turned red & was burning after using a product containing Niacinamide, which I now know I’m reactive to. I had had a 3rd one on my chin but after my dermatologist upped my Tretinoin to 0.1%, it went away.

Pauses video to get butcher's knife out of bathroom and back into kitchen. hahaha! Not really, but I do hate milia! Pesky little things! :-)

Do you think i can use bha products to help remove milia or is it exclusive to aha only

I’ve gotten amazing results from simply dabbing the milia with rubbing alcohol on a Q-tip just after moisturizer specifically on the very spot. Localized and consistently applying this method at least one a Day did the trick for me...simply from too much moisture in that particular pore. Babies get them and the dry up and fall off. Sometimes less is more. 😊

Hello! I've been dealing with acne for 3 years now. It has never been too bad. Mostly white heads and zits but I never have more than 6 on my face. Not extremely bad. I have normal to dry skin. What do u think a dermatologist would recommend? Much love!!!

Dr. Dray, I saw a local dermatologist and asked about this. I had several milia, two on my eye lids. He took sterile scissors and cut them out....I thought I was going to lose an eye or be blinded. Lol! Oy! When they pop up now (not on my eyelids tho), I take care of them myself and have been successful. Good to know there's really nothing I can do to prevent it from recurring. Thanks for your honesty!

I have developed something on my cheeks that seems not firm and white enough to be milia but also not red enough to be KP. Any ideas what that could be?

I got rid of some of mine (which come on with too rich of a moisturizer) by using Pixi by Petra Glow tonic and occasional shaving my face. It takes a while but it worked. I still have one under one eye and on the cheek. I am on a chemo drug for Lupus so that may be why I'm prone to get them.

Hey dr. Dre, look what year I'm in viewing your videos. Obviously very interested in this topic! :-)

Thank you for the video. I think one thing you may not have mentioned (which is how I believe I got them ) is heavy creams especially with mineral oils and other ingredients like paraffins

thanks! I've got a white dot near my eye and just realised its milia. doesn't really bother me that much. :)

Would the Aztec clay mask suck the keratin and oils trapped inside them?

OMG you look amazing in short hair

Would you be able to do a video on lichen plains and things that could help it? Kind regards

I now have 4 milia bumps come up on my cheek and 2 on my head, to clean I use ponds as my 1st cleanser and follow up by either cerave SA cleanser or a clay type cleanser that's a bit gentler as my 2nd (I dont always double cleanse) I use 0.5% retinol in squalane and lactic acid 5% + AHA (not on same day) atleast once/twice a week each also, they're the only other things I use though. I use cerava moisturise cream as my moisturiser and I ALWAYS use suncream now and have done pretty much everyday for a year or so. So I've got no idea what's going on because I feel like my routine isn't that bad 😫

Thanks a bunch! Great video! Can you please suggest an eye cream for milia prone skin?

Does putting Vaseline around the nose to prevent retin A from spreading there cause milia?

Hi so what is a good face wash to use for skin that get white spots I’ve used cetaphil before but the white spots are still there I even put 1% cream on it they come and go

I went to a massage place with my mom just the little store front ones that Asians do. They were rubbing and touching my face the next morning I woke up with a huge rash and milia bumps all over my mouth chin cheeks ! I went to the dermatologist and she gave me hydrocortisone cream? Is that an effective treatment cause I was a bit worried to use steroid cream on my face. I have never had this condition so it is most likely from the massage I got

What is the difference between milia an syringoma.. I'm confused

Sun screen increases my “milia” or whatever those tiny pumps under my skin, what alternatives to sunscreen there are?

Do you think extractions are necessary during the differin "purge" phase?

Ever since I was a kid I had milia in my chin and now around my eyes, I still wonder how to get rid of it

i pop my millia, and sometimes i can get a very small whites. but its still continous and it leaves scar? :( what can i use to lighten scar and cure millia

differin/adapalene made my milia worse? i only had a little on my cheeks now its everywhere, my cheeks, forehead, and chin

Hey Dr. Dray! I was wondering how long i should keep my sunscreen for? I've had this mineral sunscreen for a year but I'm not yet finished with the tube and as it is a very large tube I really don't want to waste it, should i just chuck it or is it still useful?

Thank you for the video. Are some eye gels or creams that can be used that would less likely contribute to milia near the cheek or eye area? I think some creams or cosmetics can contribute to milia. Your advice is appreciated.

Hi Dr Dray! Would you mind touching up on Onycholysis. I will really appreciate it. Thank you, Ursie

I have a question, so I moved to California last year and never used sunscreen on my face previously (I lived in Oklahoma) I'm 23, and when i heard how much your skin needs sunscreen I started using Aveeno positively radiant which contains oxybenzone which I hear is really bad for you, so i switched to la rosche mineral zinc+titanium. I never once noticed these little bumps on my face, but ever since i started putting sunscreen on starting with the aveeno i've been getting milia (like directly under my eyelash) and I thought switching to the la rosche would fix it but pretty sure i am still getting them. my dermo gave me tretinoin cream but i'm scared to put it under my eyes constantly because the skin is so sensitive, and i'm also scared to try any sunscreens for fear of continuously getting them. do you have any advice? do you think the sunscreen could actually cause this?

Dr. Dray, have your heard of Syringomas? How can i reduce or get rid of them? What skin care products should i use?

I would really like to start using an eye cream for anti aging. I am 27 and would like to prevent the fine lines. However, I don't want this milia. Do you recommend a good anti-aging eye cream that is light enough to not cause this?

Please describe the difference between milia and syringomas.

Doc can i ask f have any medicine to cure milia plss reply and tell what medicine able to cure milia

Can u do a video on peri oral dermatitis

Those derma rollers are for the birds. They leave tiny holes in your skin. They say it allows your skincare products to penetrate deeper into the skin. But who would in their right mind would deliberately put tiny holes in their skin. Crazy if you ask me.

thanks ive been adding BHA and BP to try to get rid of it. Im planning on just going to get it removed by a dermatologist