background: Milia are very common, benign, keratin-filled cysts. Primary milia are typically seen in infants but also may occur in children and adults. Secondary milia are observed in a number of blistering disorders and following dermabrasion. Milia en plaque and multiple eruptive milia are distinct entities.
Causes:
Primary milia are believed to arise in sebaceous glands that are not fully developed, explaining the high prevalence in newborn infants.
Secondary lesions arise following blistering or trauma due to disruption of the sweat ducts. Milia have been described in association with many disorders, including bullous pemphigoid, inherited and acquired epidermolysis bullosa, bullous lichen planus, porphyria cutanea tarda, and burns. Skin trauma from dermabrasion or radiotherapy can result in milia formation.
Secondary milia have arisen from a bullous contact dermatitis and a photocontact allergy to sunscreen. They have also arisen following treatment of cutaneous leishmaniasis and after topical nitrogen mustard ointment for plaque stage mycosis fungoides.
Secondary milia have been described following potent topical corticosteroid use.
Milia are a feature of a number of very rare genodermatoses (eg, Bazex syndrome). Both primary milia and multiple eruptive milia have been reported as familial disorders with autosomal dominant inheritance.
The etiology of milia en plaque is unknown.
Medical Care: No topical or systemic medications are effective on primary and secondary milia. Single case reports have demonstrated the success of topical isotretinoin and minocycline in treating patients with milia en plaque.
First you take a Q-tip and soak it in hot running water, every 5 seconds or so, soak the cotton on it and dab the milia. I believe consistent application of the pure water outside the skin makes the excess stuff in the milia diffuse and move outside the skin, that is only my theory. Then, when your skin gets moist enough, you can gently scratch at the layers of skin on the milia, but that's not to completely remove it yet. That should have taken about 15 minutes. Then get a drop or two of salicylic acid and cover the milia for about 5 minutes using a Q-tip (don't let it get into your eye!). Then wash off the salicylic acid with hot water and gently scratch at the milia with your fingernail or edge of a sanitized tweezer. You will need to do this process several times for a day or more but for me it worked perfectly and the best part is that it is cheap, harmless, scar free, and surgery-free!
I wish this works for you and help you to get rid of milia naturally, good luck!! It just takes patience

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