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Incision/extraction of milia
Incision/extraction of milia
Milia can usually be removed easily by nicking the overlying skin with a no. 11 blade or lancet and removing the lesion with gentle lateral pressure using a comedone extractor. Alternatively, these lesions can also be removed by making a small incision using the tip of a sterile disposable needle and using the needle to enucleate the cyst. Larger lesions, particularly those around the eyes, may require a slightly longer incision with removal of the sac using fine forceps. They usually heal well by second intention, or the placement of a few superficial sutures for larger lesions. New lesions are likely to occur, though treated lesions usually do not recur.