Pediatric Milia Treatment & Management

Updated: Apr 05, 2018
  • Author: Nicholas V Nguyen, MD; Chief Editor: Dirk M Elston, MD  more...
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Medical Care

Treatment of congenital milia is not necessary as these lesions have a tendency to spontaneously resolve. When multiple lesions are present in older children, topical retinoids may be effective.


Surgical Care

Milia are easily treated with simple surgical interventions. These procedures are not painless; however, anesthesia is not needed for most patients. A small incision is made with a No. 11 blade or hypodermic needle. A comedone extractor is used to apply tangential pressure and express the contents. Other instruments may also be used including the blunt side of a curette or even a paper clip.



No restriction of activity is required.