HomeAnswersDermatologymiliaPlease see my photos and let me know if it is milia.

From my photos, can you tell me if it is milia?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At December 14, 2016
Reviewed AtJuly 6, 2023

Patient's Query

Hi doctor,

I am sending photos. Can you please advise if it is milia, a whitehead? It is getting bigger and I hate it so much. My esthetician tried to remove it. I am going to see her tomorrow. Is it worth trying again? There has to be some way to get rid of this. Please tell that to me. I am currently on Xanax and Simvastatin.

Answered by Dr. Gaurang Gupta

Hello,

Welcome to icliniq.com.

It does not look like milia at all. First, milia do not come single. Also, we need to just take out material inside it and it disappears. For which, you have tried many times, but in vain. It is looking like a simple mole-like age-related growth. But, I cannot confirm it just by seeing. You go to your esthetician and tell her or him to pinch by needle and squeeze it. If it is solid and no material comes out, then it is sure that it is a mole-like growth. If any material comes out, then we have to think another way. So, just get it done and let me know for further evaluation.

Patient's Query

Thank you doctor,

If it is a mole-like growth, then how do you remove it? Will it leave a scar? And, if she does squeeze it out that would be good, right? I am very nervous.

Answered by Dr. Gaurang Gupta

Hi,

Welcome back to icliniq.com.

Do not be nervous just because of one simple thing. Actually, removing milia involved this procedure only. It means making a small hole with needle and remove material inside it by gently squeezing or putting pressure. If it is solid, then nothing will come out and it will rule out that it is milia. I feel like it is a small mole-like thing. If it is a mole and you want to get it removed, then we can do it by radiofrequency method. But, recurrence is very common. It comes again and again, even after removing and the same is happening with you. So, removal needs skill and have to access that how deep we should go without giving you scar.

Patient's Query

Hi doctor,

Thank you for the reply.

My dermatologist said I have a small epidermal cyst. She said she will not do anything to it I do not know why maybe because it will scar. Some days it is not noticeable some days it is. It gets small then bigger then small but it is still there. It does not hurt at all and does not move around it is just there. I hate looking at it more than I can say. Going to my aesthetician next week for a facial. Do you think she will be able to needle it and squeeze it out without damaging the skin? I am willing to try again but I am nervous. Sorry to be a pain I appreciate your advice. Thank you.

Answered by Dr. Gaurang Gupta

Hello,

Welcome back to icliniq.com. Well, it can be an epidermal cyst or can be a mole. In both cases, it is useless to get removed just by pinning it or squeezing it. It will not go by doing it. And yes if you want to get it removed there is a chance that scar may come. I would suggest you not to irritate it unnecessarily and the beautician will not be able to remove it.

Patient's Query

Thank you for the reply doctor,

Do you think it will get bigger? Will it go away on it's own?

Answered by Dr. Gaurang Gupta

Hi,

Welcome back to icliniq.com.

Most of the time it does not increase in size and many times it goes away itself. So do not worry about it much. It will not trouble you much. With time I would fade away.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Gaurang Gupta
Dr. Gaurang Gupta

Dermatology

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