White Spots On The Skin – Milia

22 Jun 2021 | Category: Medical

As Seen In Express

With Skin Blemish Expert, Dr Ross Perry

The Daily Express published an article exploring the common but often misunderstood issue of milia.

Milia are white cyst-like spots that develop on the surface of the skin. They are 1-4mm wide, firm in texture, raised and filled with white fluid. They are not painful or itchy, but look unsightly and can last for years if left untreated. They can also become inflamed.

Skin expert Dr Perry was invited to give his explanation and advice on what causes the issue. He told Express Health:

“In appearance they appear as small white spots which are medically known as ‘milium cysts’ and it is important to understand that they are a tiny form of cyst rather than whiteheads which they are sometimes confused with.

“Milia occur when the sweat glands become trapped with oil and keratin.

“They can become quite hard and prominent and although they may pass away eventually, they could last for years.

“There is also a risk of inflammation if they’re left untreated.”

Treatment Options for Milia

Most patients are keen to get rid of milia rather than wait for them to go of their own accord.

Dr Perry explained the options for Express Health:

“Laser offers the ultimate treatment, as it not only destroys the cysts but also stimulates the skin’s healing and cell renewal, so the skin looks healthier.

“Other options for medical treatment of milia are microcautery, or micro needling/blading to incise and remove the collection of sebum.

“For less established cases, intensive exfoliation treatments such as chemical peels or microdermabrasion can be helpful.

“These work by stripping away the outer surface and clearing blocked pores for fresher skin.

“Exfoliation also stimulates cell renewal for clearer, healthier skin.

“All the above treatments should all be carried out in a proper skin clinic by trained and experienced professionals.”

At Home Treatments for Milia

Dr Perry advised that retinol/retinoid treatments could be helpful, although it is important to get the right product which may require a prescription:

“…the recommended strengths are not available without a prescription and it is advisable to be seen by the doctor first to ensure the treatment is appropriate.”

He warned against internet purchases:

“I would advise against trying to purchase something on the internet, as there is a risk of scarring from inappropriate treatment.”

He added:

“It is important to have the skin viewed by a doctor specialised in skin conditions in order to work out the best treatment plan.

“Some people are prone to milia but basic skin care and exfoliation can help reduce them.”

Read this article in full at https://www.express.co.uk/life-style/health/1451124/white-spots-on-skin-what-are-they-milia

Dr Ross Perry

doctor ross perry

Dr Ross Perry is Founder and Medical Director of Cosmedics Skin Clinics.

He qualified at Guy’s & St Thomas’ Hospital Medical School in 1994. His career includes NHS skin cancer reconstruction, work as a GP, as well as private cosmetic skin treatments.

He established Cosmedics Skin Clinics in 2003 and remains in charge as Medical Director. He is best known for dealing with unwanted skin lesions and blemishes (e.g. moles, cysts, warts, skin tags) and natural-looking use of non-surgical cosmetic injections (BOTOX® Anti-Wrinkle Injections and Facial Fillers) and advanced laser treatments.

He regularly advises the press on health matters and has special expertise on matters relating to the skin.



Cosmedics Skin Clinics

Cosmedics Skin Clinics was established in 2003 and has built up an excellent reputation for cosmetic and medical skin treatments, carried out by GMC Registered Doctors.  The company offer a full range of cosmetic treatments, including popular lip enhancement and wrinkle relaxing injections, dermal fillers; plus medical treatments including mole removal, thread vein treatment and excessive sweating injections.

Cosmedics Skin Clinics has a team of skin treatment doctors and surgeons in their 5 skin clinics across London and Bristol led by Dr Ross Perry.

Call 020 7386 0464 or email enquiries@cosmedics.co.uk to book an appointment.


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