HomeHealthWhat is Milia or Milialar? - Types, Symptoms and Treatments

What is Milia or Milialar? – Types, Symptoms and Treatments

Milialar also known as keratin bumps, are tiny white cysts under the skin, causing cosmetic concerns. Understanding the causes of Milialar syndrome and exploring effective treatments can help alleviate the issue. There are various methods to treat this condition.

Treating milia, a difficult skin condition characterized by small, keratin-filled cysts that typically look white or yellow, involves several strategies. Dermatologists often use exfoliation, prescription retinoids (which promote natural skin cell turnover), and professional extraction.

Consulting a dermatologist is advisable for milia issues. They can accurately diagnose and provide effective treatments. These treatments not only clear up milia but also help prevent future occurrences and improve the skin’s texture.

What is Milia or Milialar?

Milialar cysts are small, dome-shaped bumps, usually about 1-2 millimetres in size, similar to a pinhead. They have a whitish-yellow, pearl-like appearance, with a firm and smooth texture on the skin’s surface. They commonly appear on the eyelids and under the eyes, resembling tiny pearls under the skin. Research indicates that milialar forms when keratin, a protein in skin, hair, and nails, gets trapped under the skin’s surface. While commonly found in newborns, adults can also develop these cysts, often due to skin damage.

What Does Milialar Mean?

Milialar cysts are small, painless lumps on the skin, appearing as white or yellowish bumps. They are distinct from acne in that they don’t have an opening or pore, making them resistant to traditional squeezing or popping methods. The cause of these cysts is the trapping of dead skin cells just below the skin’s surface, leading to their formation.

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Types of Milia or Milialar

Milia, also known as milialar, comes in various types, each with unique characteristics and often associated with different causes or age groups. Here’s an overview of the different types:

Primary Milia: 

This type is most common in infants but can occur in individuals of all ages. Primary milia appear spontaneously, especially on the face, and are often the result seen in newborns.

Secondary Milia: 

These occur as a result of skin damage, such as burns, blisters, or excessive sun exposure. Secondary milia form when the skin’s healing process traps keratin beneath its surface.

Milia en Plaque: 

This rare form is typically associated with genetic or autoimmune skin disorders and is characterized by milia clustered on a raised, inflamed patch of skin. It often affects the eyelids, ears, cheeks, or jaw.

Juvenile Milia: 

These are linked to genetic disorders, appearing in infants and children. Juvenile milia can be associated with other skin abnormalities.

Multiple Eruptive Milia: 

This type presents as groups of milia that develop over a short period, often in areas like the face, upper arms, and upper trunk. The cause of multiple eruptive milia is not well understood.

Traumatic Milia: 

These form at the site of an injury, where a skin condition like a blister has healed and left small pockets that trap keratin.

Understanding these types helps in identifying the appropriate treatment and management strategies. However, it’s essential to consult a dermatologist for an accurate diagnosis and treatment plan.

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Symptoms of Milia or Milialar

Recognizing the signs of Milialar is essential for seeking timely and appropriate treatment, preventing the condition from getting worse. Common symptoms of Milialar include:

  • Small, White Bumps: The most noticeable indication of Milialar is the appearance of small, white bumps on the skin. These bumps are generally firm and can show up on various body parts including the face, neck, chest, and even the genital region.
  • Painless Lesions: The lesions caused by Milialar are usually painless and don’t lead to discomfort or itching. They often look like tiny pearls or milia seeds embedded within the skin
  • Occasional Redness: In some cases, individuals might notice mild redness around the affected area, but this isn’t a widespread symptom and tends to vary from person to person.

How to Milialar Treated?

Infant milia does not require treatment. The cysts normally disappear after a few weeks.

Milia will disappear in older children and adults within a few months. If these cysts cause you pain, some therapies can help you get rid of them.

They are as follows:

  • Cryotherapy. The milia is frozen using liquid nitrogen. It is the most commonly used method of removal.
  • Deroofing. The contents of the cyst are extracted using a sterilized needle.
  • Retinoids are used topically. These vitamin A-rich treatments exfoliate your skin.
  • Peels using chemicals. Chemical peels cause the first layer of skin to peel away, revealing new skin beneath.
  • Ablation with a laser. To remove the cysts, a tiny laser is focused on the afflicted areas.
  • Diathermy. The cysts are destroyed by extreme heat.
  • Destruction curettage. The cysts are surgically scraped and cauterized.

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Preventative Measures and Home Remedy

This article focuses on offering natural remedies and proactive strategies to manage and reduce the likelihood of developing milialar:

  • To prevent milialar, it’s advisable to protect oneself from the sun, either by wearing protective clothing or applying sunscreen consistently.
  • Topical applications such as benzoyl peroxide, salicylic acid, and lactic acid, which are available over the counter, can help in reducing milia’s visibility.
  • In severe cases, a healthcare professional might recommend oral antibiotics like doxycycline or amoxicillin to address any underlying infection.

Conclusion

Although milialar is typically harmless, it can sometimes lead to cosmetic concerns or discomfort for some individuals. In this guide, we’ve explored everything from the causes of milialar, available treatments, to preventative measures. For persistent or problematic cases of milialar, it’s advisable to seek advice from a dermatologist to determine the most effective treatment plan. By following good skincare routines and using suitable protective measures, one can prevent the formation of milialar and maintain clear skin.

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Frequently Asked Questions (FAQs) about Milialar

What is Milialar?

Milialar refers to a skin condition characterized by the appearance of small, white bumps, commonly known as milia. These bumps are typically firm and are found on the skin’s surface in various areas such as the face, neck, and chest.

What causes Milialar?

Milialar is often caused by the trapping of keratin beneath the skin’s surface. It can be a result of skin damage due to factors like sunburns or blisters, the use of certain skincare products, or as part of the natural ageing process.

How can Milialar be identified?

Milialar is identified by the presence of small, white, pearl-like bumps on the skin. These lesions are usually painless and don’t cause discomfort or itching. Some individuals might experience mild redness around the affected area.

Is Milialar harmful or just a cosmetic concern?

Milialar is primarily a cosmetic concern and is generally not harmful. It does not usually cause pain or discomfort, though it can be aesthetically displeasing for some individuals.

What are the treatment options for Milialar?

Treatment options include topical applications like benzoyl peroxide, salicylic acid, and lactic acid. In some cases, dermatologists might recommend procedures like cryotherapy, laser therapy, or chemical peels. Maintaining a good skincare routine is also beneficial.

Can Milialar be prevented?

While it’s not always possible to prevent Milialar, reducing sun exposure, using sunscreen, and adhering to a proper skincare regimen can help. Avoiding heavy creams or oil-based skincare products can also be effective.

When should someone consult a dermatologist for Milialar?

Consultation with a dermatologist is recommended if the milia are persistent, widespread, or causing discomfort. A dermatologist can provide personalized treatment plans and advice on managing or removing Milialar effectively.

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