Millet on the face: how to get rid of milia on the face

"Before and after"

Prices

Reviews

Doctors

Milia are dense formations in the superficial skin layer (epidermal cysts), in the form of white or yellowish nodules.

Milia rise above the surface of the skin as small white pimples from 0.5 to 2 mm. They are also called millet cysts, miliary cysts. Most often, milia are multiple and are located on the eyelids and under the eyes, around the eyes. They also occur in other areas of the face, less often on the body.

General information

The term “ milium ” refers to whiteheads, which mainly appear due to overactive activity of the sebaceous glands.
The name comes from the Latin word for millet. Therefore, in everyday life this disease is also called millet. This cosmetic defect does not cause harm to health. Milia feel like small nodules to the touch. Most often, millet appears on the face; the most typical disease is for women and newborns. However, milia on the face or on another part of the body is not a pimple, but a benign formation. Apart from the white formations themselves, this phenomenon does not provoke any other symptoms. Therefore, treatment is carried out only if millet causes cosmetic discomfort.

Pathogenesis

Another name for this manifestation is retention miliary cysts . In the process of chemical analysis of the contents of milia, it was determined that it contains keratin - dead cells mixed with fat. Their structure is dense, not similar to the contents of acne , since they contain relatively little sebum. These formations are small - their diameter is no more than 2 mm. The milia capsule is located separately from the sweat and fat ducts. The formations are localized mainly on the cheekbones, eyelids, temples, forehead, and near the lips. They rarely form on the chin. Milium has a cystic structure, and there are no passages outward, so it is difficult to squeeze out the formation.

Such acne forms due to specific processes. Apoptosis is the process by which damaged, overproduced and old cells in the body are eliminated. But sometimes apoptosis is disrupted, which leads to the development of a number of skin diseases, including the formation of milia.

The surface of the skin is renewed every 2-4 weeks. However, this process is correct and timely only when a sufficient level of cell apoptosis occurs in the skin and the intercellular substance is renewed in a timely manner. The intercellular substance consists of collagen and elastin . In the intercellular space, elastin and collagen fibers are removed by fibroblasts - special cells. But if their activity is insufficient, then the old fibers are not removed, but become denser and close the cell, preventing the entry of necessary substances into it and the removal of metabolic products. As a result, keratinocytes die, but they are not removed. Dead cells remain in the skin, surrounded by a sheath of connective tissue. As a result, milia appear. It is impossible to remove these formations using acne treatment products.

This type of formation also sometimes occurs in newborns. During the period of intrauterine development of the fetus, sebaceous glands are formed already in the third month. The impact of a number of factors on the body of the expectant mother leads to the development of milia in newborns. As a rule, after some time their number becomes smaller and they disappear on their own.

What are milia?

A small formation in the place where hair begins to grow is called millet. These are dense nodules that are localized mainly on the face in areas with thin skin. They are painless, not prone to growth and inflammation. Their diameter ranges from 0.5 to 3 mm. Rarely, milia can appear on the body or in the groin area. Age category - any, but most often millet is observed in women, newborns and adolescents.

Exocrine glands are located in the dermis, their ducts are often directed to the mouth of the root part of the hair. Each of them secretes sebum, a fatty substance that is a lipid complex.

When released onto the surface of the dermis, the secretion forms a special invisible film, which consists of water and lipids, and is intended for protective functions. In addition, dead epidermal cells are shed through the base of the follicle. When the gland becomes clogged with sebum and horny scales, milia are formed. The formation is called millet because of its similarity to millet grain and its color (white, yellowish).

Classification

Milia are divided into two types:

Primary - they develop spontaneously, they can be a consequence of the influence of ultraviolet radiation, etc. This type develops in newborns. As soon as the processes of separation of keratinized skin particles return to normal, this manifestation disappears. In adults, the primary form can be a consequence of hormonal imbalance, hyperkeratosis , poor hygiene, abuse of cosmetics, etc.
Secondary - are a consequence of inflammation or trauma to the skin, developing in scars after wounds or burns. Unlike primary ones, they do not disappear on their own and can remain in scars throughout life.

How to get rid of the problem

If millet appears in a newborn, this is normal. No action should be taken in this case. This is a physiological process caused by changes in the developing body and increased hormonal levels. Milia of microscopic size also does not always require treatment. Most often, the phenomenon goes away on its own as a result of renewal of the epidermis. But this will take several months.

Such microcysts of a larger size are not dangerous; more often, they are just a cosmetic unpleasant defect. But it’s better to get rid of it, because complications are possible. There are several types of treatment for millet.

This video will tell you about the causes and symptoms of millet:

https://youtube.com/watch?v=u_m4PBt3ND4

Therapeutic method

This is diet therapy. A method that eliminates the cause of the disease, if its appearance is caused by a malnutrition, and cleanses the body from the inside.

Physiotherapy and procedures

The most common and reliable method. It is based on the complete removal of milia. You will not be able to perform the procedure at home. This is done by a doctor or cosmetologist.

It is acceptable to use special peeling, but more often a mechanical or laser method is used to remove millet. The mechanical method is significantly inferior to the laser method. In the first case, minor damage and inflammation of the skin are possible, in the second case, when using the laser removal method, this is not observed.
Sometimes the method of electrocoagulation (using electric current) is used. After removing milia using this method, a crust appears, which goes away on its own after 1-2 days.
Let's use the curettage method. This is a mechanical removal, which is rarely used, because it leaves scars.
After removal of milia by mechanical and laser methods, treatment with an antiseptic solution is prescribed for several days.

Medication

In some cases, it is advisable to use a medicinal treatment method, which includes taking medications that can cope with the problem. The treatment is complex, including ointments for external use and medications for oral administration. In this case, the following drugs are prescribed:

Retinoids: Isotrexin, Effenzel, Differin,
Brewer's yeast containing selenium and zinc,
Hormonal drugs
Antibiotics: Levomekol, Triclosan, Erythromycin, Clindamycin,
Ointments: ichthyol, tar, zinc, sulfur,
Boric and salicylic acid, which are used for wiping.

Causes of blemishes on the face

The main reasons why so-called whiteheads develop under the skin on the face are associated with excessive production of keratin by cells. This phenomenon can be caused by the following factors:

hormonal imbalance;
hyperkeratosis;
incorrect metabolic processes;
thyroid dysfunction;
digestive diseases;
prolonged exposure to direct sunlight;
incorrect approach to nutrition - consumption of large amounts of fatty and fried foods;
of vitamins important for the body ;
diseases of the adrenal glands and pancreas.

Due to hormonal imbalance, millet often appears not only in adults, but also in infants. When a baby is born, his body experiences a significant hormonal crisis, which leads to problems with the skin.

Another peak in the appearance of milia occurs during adolescence. During this period, very often keratinized cells are separated incorrectly, the regulation of sebum production is disrupted, and as a result, millet appears on the skin in parallel with acne. In adolescents, this is associated with the following phenomena:

oily seborrhea , when there is hyperfunction of the sebaceous glands;
increased levels of sex hormones;
dysfunction of the autonomic nervous system;
deficiency of vitamins and minerals;
improper skin care, insufficient hygiene;
hyperkeratosis of the hair follicle;
abuse of junk food - soda, fast food, sweets;
use of low quality cosmetics;
dry skin due to improperly performed cosmetic procedures;
side effects when using medications;
inflammation of the skin, benign formations;
ultraviolet action;
bad habits.

The appearance of such formations may be associated with diseases, the course of which negatively affects the condition of the skin:

bullous pemphigoid;
porphyria cutanea tarda ;
dystrophic epidermolysis bullosa ;
lupus;
sarcoidosis;
gastrointestinal diseases;
endocrine disorders.

Clinical picture

In accordance with the results of histological studies, it was found that milia, or retention cysts, are located in the skin separately from the sebaceous glands, sweat ducts and hair follicles.
They are a cystic wall lined with epithelial tissue cells.

The capsule of the cystic formation contains onion-shaped layered keratin accumulations, or keratinized epithelial cells. Although fat can be mixed in small quantities into the total mass, contrary to the opinion of many ordinary people, milia do not consist of the secretion of the sebaceous gland.

So, milia are epidermal cysts, which are bubbles formed in the superficial layer of the dermis that contain keratin.

Presumably they arise due to hyperkeratosis, during which accelerated cell division occurs in the upper epidermal layer while the rate of exfoliation decreases.

This may explain the reason for the impossibility of removing milia with the same means that are successfully used in the fight against acne and other types of acne.

Attempts to squeeze out the grass remain unsuccessful even under strong pressure.

Sometimes, as a result of puncturing the cyst, a small amount of white or yellowish content of a soft or gelatinous consistency may be released.

Symptoms

Most often, such formations appear on the face. Often, millet forms on the eyelid, and milia develop under the eyes. While milia on the eyelids are a fairly common occurrence, they appear less frequently on the limbs, abdomen, and genitals. These formations can appear at any age. Millet does not cause pain, discomfort or any unpleasant sensations.

The millet looks like a papule no larger than 2 mm in size. These white pimples can appear singly, but most often they form in groups. In appearance, these are small, round, dense nodules that have a yellow-white tint. The head of the pimple is not inflamed, but if microorganisms get inside, the formations can become inflamed and become purulent.

Sometimes, after a person has managed to get rid of such a manifestation, milia appear again.

Localization of white pimples on the eyes

Millet is most often located on the upper and lower eyelids, but can appear anywhere there is hair. It looks like a small cyst filled with epithelial cells and sebum. The source of formation is the excretory ducts of the sweat glands or hair follicles.

It appears as single or multiple nodular rashes on the eyelids of a white-yellow color. The elements of the rash are clearly demarcated from healthy skin, without an inflammatory halo. They feel dense to the touch; in the center there may be a black comedon - an accumulation of horny masses. They resemble a grain of millet in appearance, which influenced the name.

The nodules reach a size of 1-2 mm, often located symmetrically. Millet on the skin of the upper or lower eyelid does not cause pain, only aesthetic discomfort. Pronounced rashes are a cosmetic defect.

In the area of the inner edge along the lash line it can cause discomfort. Convex nodules come into contact with the mucous membrane when blinking or moving the eyeballs, causing the sensation of a foreign object in the eye, lacrimation, and burning.

On the lower eyelid, millet manifests itself as chaotic multiple rashes, tending to be located at the outer corner of the eye, spreading to the cheeks and cheekbones.

Milia do not appear on the mucous surface. If a white nodule or inflammation occurs on the inner surface of the eyelids, you should immediately contact an ophthalmologist for diagnosis and treatment.

Tests and diagnostics

A dermatologist diagnoses milia by examining the skin and identifying characteristic signs. The doctor interviews the patient, studies the medical history and collects anamnesis to determine the cause that triggered the development of millet.

Instrumental and laboratory studies, as a rule, are not practiced. If milia appear against the background of other diseases, the patient is advised to consult with specialists.

It is important to differentiate milia from fibrofolliculoma , trichodiscoma , fibroma , syringoma and xanthelasma .

Procedures and operations

The most common procedure for removing millet grass is the mechanical method. First, the skin is treated with an antiseptic. Then the specialist uses a sterile needle, opens the membrane, lifts the cyst and pushes it out. For this purpose, a special curette that resembles a spoon is also used. This tool makes it possible to completely scrape out the milia, and then the remnants of its contents will not turn into a cyst again after some time. In one procedure, a certain number of formations are removed – no more than 10.

Milia under the eyes are removed using radio waves , and diamond cleaning . A more aggressive method is burning ( laser removal, electrocoagulation ), which acts on the formations in a targeted manner.

Sometimes milia disappear on their own after a few months as the skin renews itself.

It is also important to ensure proper skin care and use products that will help normalize the oiliness of the epidermis.

Basic salon procedures

In this case, the cosmetologist will definitely offer facial cleansing in 2 ways - manual or machine method.

Manual or manual skin cleaning is performed using special sterilized instruments. It involves mandatory cleansing of the epidermis with special compounds, followed by steaming it to maximize the opening of pores and easily remove white rashes. The sites where the millet is removed are treated with an antiseptic to prevent infection from penetrating deep into the skin structure. This procedure lasts about an hour. Basically, you need to undergo several sessions of mechanical cleansing to completely get rid of milia.
The hardware method of facial cleansing is considered a more gentle manipulation. It also requires steaming the skin to fully open its pores. This procedure is carried out using the following devices:
vacuum, equipped with special tubes that quickly push the contents of the pores to the surface of the skin. Simultaneously with skin cleansing, massage and lymphatic drainage occur, improving blood circulation and increasing the tone of the epidermis. The duration of the session is a quarter of an hour;
ultrasonic, affecting the skin structure with ultrashort sound waves that penetrate deeply into the pores and perform micromassage of tissues. The result of this effect is the complete cleansing of facial pores and renewal of the entire upper layer of the epidermis. The time of this procedure is about 15 minutes.

The final stage of hardware facial cleansing is chemical peeling of the skin, performed using fruit acids to remove the dead stratum corneum and smooth the entire skin surface.

The greatest effect of removing millet will be after professional manipulations

Treatment with folk remedies

You can use folk methods to combat millet grass. But most of them can produce an effect only with regular and long-term use. All traditional methods are based on mechanical cleansing of the skin from dead cells. When using products that act as peeling, you need to rub the skin very gently. Gradually, the milia coating will become thinner, and it will be possible to remove it yourself without damaging the skin.

Soda and soap. First, you need to foam baby soap on your palm, then pour 1 tbsp onto the foam. l. soda Treat the skin with gentle movements and rinse off the composition. Use every other day for two weeks.
Paraffin. Melt 70 g of paraffin in a water bath. Wipe your face with alcohol and apply several layers of paraffin to your face. The next layer can be applied when the previous one has hardened. Remove the mask when the paraffin has completely hardened.
Pumpkin with sour cream. Finely grate the pumpkin pulp and mix it with sour cream to form a homogeneous mass. Apply the mask to your face and leave it for a quarter of an hour. The mask can be applied every day.
Sea salt and olive oil. Mix these two components in equal proportions, take the mixture onto a cotton pad and lightly massage the affected areas. After this procedure, apply a moisturizer to your face.
Viburnum with oatmeal. Grind the berries in a blender, add a little oatmeal and apply to the affected areas for 20 minutes. Rinse everything off with water.
Yeast. 1 tbsp. l. mix yeast with 1 tbsp. l. lemon juice and the same amount of honey and hydrogen peroxide. Mix everything and apply to skin for 20 minutes. After this, rinse gently with water.

hydrogen peroxide at home to treat millet so as not to worsen the condition.

Recommended ointments

To get rid of milia at home, the following formulations are recommended:

sulfur, salicylic or zinc ointments, which have drying, regenerating, brightening and antibacterial properties. They are applied in a thin layer to cleansed skin in areas of existing rashes every day at night for 10 days;
pharmaceutical ointment "Retinol" applied in a thin layer locally (on the grass) after washing the skin. It is strictly forbidden to apply this ointment to the area near the eyes to avoid burns and irritation of this delicate and especially sensitive epidermis!
ichthyol ointment, which has an unpleasant odor, but is very effective in the fight against milia, characterized by anti-inflammatory, antimicrobial, powerful regenerating and improving local blood circulation effects. Cosmetologists strongly recommend using this ointment after performing mechanical or hardware cleansing of the skin, including for preventive purposes. It is recommended to apply it to rashes only in the evening, before bed.

Pharmacy ointment "Retinol" will help in the fight against milia.

Prevention

To prevent the formation of millet, the following prevention rules should be followed:

Visit a doctor in a timely manner and identify pathologies of organs and systems. Monitor hormonal balance.
Protect the skin from the aggressive effects of ultraviolet radiation. Use special protective equipment.
Eat right, avoiding vitamin and mineral deficiencies and avoiding junk food. It is important to prevent a lack of zinc (it is found in protein products) and calcium (dairy products). You should not starve or adhere to too strict diets.
Take proper care of your facial skin by selecting products with the help of professional cosmetologists. It is important to consider your skin type.
Strictly monitor skin hygiene.
Regularly carry out procedures aimed at properly exfoliating dead cells.
As recommended by your doctor, take vitamin and mineral complexes.

Diet

Diet for acne

Efficacy: therapeutic effect after 21-30 days
Terms: 6-8 months
Cost of products: 1700-1800 rubles. in Week

To prevent milia from occurring, you need to eat well, but not overeat or abuse junk food. In this case, it is advisable to adhere to the principles of the Acne Diet . The following products must be included in the menu:

Lactic acid dishes - they will help improve the condition of the intestinal microflora.
Liver, offal, seeds, nuts - they will help compensate for zinc deficiency.
Fish of all varieties contains Omega-3 fatty acids , which have an anti-inflammatory effect.
Vegetables, fruits, fresh herbs are sources of vitamins and antioxidants .
Green tea is a powerful antioxidant.

Consequences and complications

If you deal with this cosmetic problem correctly, there will be no unpleasant consequences. But if there is an unprofessional approach to eliminating the pimples and incorrect actions at home, wounds, bruises, and later scars may remain in place of the pimples.

Infection in the resulting wound can lead to inflammation, abscess and other unpleasant diseases.

The risk of complications when removing milia in the eye area on your own is very high. When an infection occurs, an abscess of the eyelid may develop. There is also a risk of injuring the eyeball when using a needle.

Bacteria entering the eyelid area can lead to them subsequently ending up in the orbital veins, and later in the sinuses of the brain. As a result, sinus thrombosis may develop.

When should you see a doctor for treatment?

In most cases, millet is harmless and only causes aesthetic inconvenience. Acne forms gradually, without discomfort or inflammation. They can be observed in the form of individual nodules, but more often they are a scattering localized on the eyelids, temples, and in the T-zone. Since the cysts are tightly sealed and have no contact with the environment, they maintain their size. But if the integrity is violated and pathogenic microorganisms enter, inflammation with pustules can develop.

Milium is easily recognized visually by a cosmetologist. But in some cases it needs to be differentiated from fibroma, flat xanthoma, or hamartoma of the eyelids.