What you need to know about Milia extractions!
Milia are small, white, pearl-like bumps that often appear on the face—especially around the eyes, cheeks, and nose. Though they’re completely harmless, they can be frustrating for those who value smooth, clear skin. Understanding what milia are and how professional milia extraction works can help you decide if it’s the right treatment for you.
What Are Milia?
Milia are tiny cysts filled with keratin—a natural protein found in skin, hair, and nails. Unlike pimples or whiteheads, milia are not caused by bacteria or clogged pores, so they cannot be squeezed out at home. They form when dead skin cells become trapped beneath the surface of the skin, creating small, firm bumps that don’t pop easily.
Common Causes:
Milia can develop for a variety of reasons, including:
Overuse of heavy skincare or makeup products
Lack of proper exfoliation
Sun damage or skin trauma
Genetics
Aging and slower cell turnover
What Is Milia Extraction?
Professional milia extraction is a safe and effective treatment performed by a trained skincare specialist or medical aesthetician. The procedure involves using a sterile, fine needle or lancet to create a tiny opening in the skin, allowing the trapped keratin to be gently extracted. This precise technique ensures minimal trauma to the skin while preventing scarring or infection—two common risks of attempting extraction at home.
What to Expect During Your Appointment:
Consultation: Your provider will assess your skin to confirm that the bumps are milia and determine the best treatment approach.
Cleansing and Preparation: The skin is thoroughly cleansed and disinfected.
Extraction: Using sterile tools, each milia is carefully opened and removed.
Aftercare: A soothing product or antibacterial solution is applied to calm the skin and reduce redness.
The procedure is quick, and most clients describe it as mildly uncomfortable but tolerable.
Aftercare and Recovery:
After milia extraction, you may experience slight redness or sensitivity for a short period.
To support healing:
Keep the area clean and avoid touching or picking the skin.
Apply a gentle, non-comedogenic moisturizer.
Avoid harsh exfoliants or retinoids for a few days.
Always wear sunscreen to protect the skin barrier.
Preventing Milia Formation:
To reduce the likelihood of milia returning, maintain a healthy skincare routine that includes:
Regular exfoliation with gentle products such as enzyme peels or mild acids.
Lightweight moisturizers that don’t clog pores.
Consistent sun protection to prevent skin damage.
Why Choose Professional Extraction?
Attempting to remove milia at home can lead to infection, scarring, or worsening irritation. A professional extraction ensures the process is done safely, hygienically, and effectively—leaving your skin smoother and clearer.
At Tangles, we offer expert milia extraction treatments tailored to your skin type and needs. Our trained medical aestheticians provide a comfortable experience with professional aftercare advice to keep your skin glowing and healthy

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