milia seed removal clinic in singapore

Milia Seed Removal

Milia seeds appear as pearly white bumps under the skin. Often multiple, they are found around the eyes and cheeks, and arise commonly in both men and women. While most milia seed will disappear by itself over time, some individuals request milia seed removal. Usually the simplest and most cost effective method is all you need for most cases.

About Milia Seeds

Milia are very common small superficial cyst found in the upper layer of the skin called the epidermis. They are tiny white to yellow coloured bumps under your skin (usually <3mm), and are commonly found around the eyes and cheeks. Many people mistaken milia seeds to be linked to the intake of oily food, but this has not been proven. Milia seeds can appear on other areas on the body after a triggering event. For example, after skin trauma, burns and certain skin conditions.

Can newborns get milia?

Milia are very common in babies, affecting 40-50% of newborns. Milia arising from this young age may be related to the immaturity of the follicles in the skin. They are found on the face, nose, and sometimes inside the mouth. The majority of cases heal by itself in a few weeks to months  after birth.

milia seed removal
milia seed removal

What are the Different Types of Milia?

Milias are classified as to whether they arise spontaneously (primary) or develop as a result of an event (secondary).

Primary Milias inlcude:

  • Congential (common)
  • Benign primary milia (common)
  • Milia-en-plaque (rare)
  • Multiple eruptive milia
  • Genodermatoses

Secondary Milias include:

  • Disease e.g. infection, inflammation
  • Medication e.g. topical steroids
  • Trauma e.g. abrasions, dermabrasion, skin grafting.

Milia Treatment:

milia seed removal

Most milia can be left alone. There is a chance that milia will resolve by itself in a couple of months. For persistent milia, especially when it causes concern, treatment options are available at APAX Medical & Aesthetics Clinic. The type of milia treatment would depend on the number, size and location of where the milia is found. Milia treatment options include simple extraction, electro-surgery, cryotherapy and laser surgery. A consultation with Dr Moses Ng, an experienced and skilled laser surgeon will determine the best milia seed removal treatment for you.

A topical or local anaesthetic is used prior to your procedure to maximise your comfort. The procedure itself is tolerable and almost painfree.

Most individuals recover within 5-7 days as milias are small.

There will be some expected bruising, swelling and scabbing after the procedure. These are temporary and will resolved within a week.

Absolutely. There are many factors contributing for the return of your milia. The milia seed removal procedure is to improve the cosmetic appearance only.

This depends on the site, number and complexity of the removal. Procedural fee is from $350 onwards.

More Information:

  • Milia, DermNet NZ. Click here.
  • Medscape Resource. Click here.
Dr Moses Ng dermatologist

milia seed removal

Milia seeds can be difficult to remove as they seldom pop out just by squeezing. In our daily practice, milia seed removal is carried out using the ‘Nick and Extract’ Method. This involves piercing the upper layer of the skin with a surgical blade or needle, and the milia are expressed out using a comedome extractor. Other treatment options for milia seed removal involves electrosurgery and laser surgery, but usually the least traumatic and simplest way is all you need.

Dr. Moses Ng

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References:

  1. Berk DR, Bayliss SJ. Milia: a review and classification. J Am Acad Dermatol. 2008 Dec. 59(6):1050-63.
  2. Thami GP, Kaur S, Kanwar AJ. Surgical Pearl: Enucleation of milia with a disposable hypodermic needle. J Am Acad Dermatol. 2002 Oct. 47(4):602-3
  3. George DE, Wasko CA, Hsu S. Surgical pearl: evacuation of milia with a paper clip. Journal of the American Academy of Dermatology. 2006 Feb 1;54(2):326.