Hi doctor, I have a noticeable milia spot on my cheek. My dermatologist said that she would extract, but it could leave a dented scar. I have read that it does not scar. I am very nervous and unhappy with this milia, which looks like a big whitehead. Will it be safe to get it extracted? I have panic and anxiety disorder. So, I am so anxious right now. My current medications are Xanax and Simvastatin. I never had milia before and all my laboratory work is good. Please share your opinion.
Hello. Milia are a white material containing papule type lesions that mainly presents over the face. Milia are due to sun exposure. Long term sunlight exposure cause sweating and mild sunlight reaction and in turn form milia. If you notice the area, then you will come to know it is always present over sun exposed part only like face, hand, neck and forehead. For further prevention, use proper sunscreen with 50 SPF (sun protection factor). Sunscreen should be applied in daylight before going outside twice or thrice in a day. I want to make you sure that after removal of milia no marks will be left. I do it on a daily basis and almost every day. It should be extracted by small needle and it is not a time taking, painful or complicated procedure. Milia is very superficial lesion so even if it is removed manually by needle or extractor they do not leave any scar or marks. So, you can go for it without any anxiety or anxiousness. It is completely a very superficial procedure. To make you more comfortable, I would like to tell you that scar always comes when something happening deep to the skin like any injury or severe acne. But, milia are so superficial. For further information consult a dermatologist online -->