Milia extraction (removal of barley grains and skin blemishes)
Milia extraction (removal of barley grains and skin blemishes)
Removing milia – professional milia extraction
Small, firm white or yellowish bumps around your eyes, on your cheeks, or on your nose? They could be barley grains (milia) are. These superficial, keratin-filled cysts are usually harmless, but can be cosmetically bothersome. Because they lie under a thin layer of skin, you cannot simply squeeze them out.
At Medicadermis, I first assess whether it is indeed a case of milia. I then carefully remove suitable styes with sterile instruments. You can opt for a standalone appointment or, where possible, have milia removed as an add-on to another facial treatment.
A barley grain is not a blackhead. Milia contain keratin and do not have an open opening like a blackhead. Moreover, not every white bump is a milia; therefore, I assess the skin beforehand.
For the product variants, you can choose between milia removal as a standalone appointment and milia extraction as an adjunct on another treatment. The current price appears with your selection.
For whom is milia extraction suitable?
This treatment is intended for small, superficial milia that can be safely removed after assessment. Milia occur on the cheeks, nose, and around the eyes, among other places.
Not every white or skin-colored bump is a milia. Sometimes they are closed comedones or another skin abnormality. In case of doubt, or for spots on or near the eyelid margin, I first assess whether treatment in the practice is appropriate.
What are barley grains and how do they form?
Milia are small cysts in which keratin, a skin protein, is trapped. They can form spontaneously, but sometimes also after damage to the skin, for example after a blister, a small wound, or certain skin treatments.
They are usually painless and harmless. Some disappear on their own; others remain visible for months or longer. Their appearance does not mean that you are not cleansing your skin sufficiently.
How is the removal of styes performed?
1. Skin assessment
I examine the nature, size, and location of the spots. Not every bump is suitable for immediate removal.
2. Cleaning and preparation
I cleanse the skin and carefully prepare the treatment area.
3. Professional extraction
For suitable milia, I make a very small opening in the superficial layer of skin with a sterile instrument. I then carefully remove the trapped keratin, without applying unnecessary pressure to the surrounding skin.
4. Care and aftercare
After the extraction, I care for the treated areas and provide personal advice. Precise work is particularly important around the eyes; not every location is safe for extraction.
A standalone appointment or as an addition to a facial?
Independent milia extraction
Do you specifically want to have one or more milia removed? Then you can book a separate appointment.The assessment of the spots and the extraction of safely treatable milia are part of this appointment.
As an adjunct to another treatment
Have you already scheduled a facial and would you like to have a few milia removed? This is sometimes possible during the same appointment. Whether this is possible depends on the location, the number of spots, and the other treatment.
The two options are available as product variants. The current price is displayed by Shopify.
Does removing milia hurt and what can I expect?
The extraction may be briefly sensitive. How much you notice depends on the location and size of the milia and on your skin sensitivity.
A suitable milia can often be removed during the appointment, but I cannot guarantee that every spot can be treated safely or completely. New milia may reappear later.
If you have many milia, a follow-up appointment or additional skincare advice may be appropriate.
What is the recovery time and what aftercare is needed?
After the extraction, a small red spot or superficial scab may form. The skin often heals within a few days, but this varies per person and per treated area.
Leave scabs alone, touch the spots as little as possible, use mild skincare, and protect the skin from the sun. Do not use harsh scrubs or strong exfoliants on an area that has not yet healed.
I tailor the aftercare to your skin and the treatment performed.
When is it better not to remove styes?
In the event of an active infection, herpes outbreak, wound, or severely irritated skin in the treatment area, I may postpone the treatment. Also, in the case of unclear skin lesions, deep-seated spots, or locations close to the eyelid margin, a different assessment or referral is sometimes more advisable.
Please inform me in advance which skin treatments you have recently undergone and which medications or active skin products you are using. I will assess on a case-by-case basis whether extraction is appropriate.
Are they milia, closed comedones, or blackheads?
Barley grains They are usually firm, white or yellowish cysts under a thin layer of skin. Closed blackheads (whiteheads) caused by a blockage of a hair follicle. Open blackheads have a visible dark opening.
Normal sebaceous filaments can also be mistaken for blackheads. Therefore, the treatment varies depending on the skin type. Pricking or squeezing firmly yourself can cause irritation, pigmentation spots, or scarring.
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Can you prevent new styes?
Not always. Milia can also develop when you take good care of your skin. Gentle cleansing, appropriate skincare, and daily sun protection form a good foundation.
For some skin types, a carefully chosen exfoliating product can help limit the accumulation of superficial skin cells.This does not automatically make existing milia disappear. Do not use strong exfoliants around the eyes on your own initiative.
Removing styes in Medicadermis
Do you have one stubborn milia or multiple white bumps? I would be happy to take a look with you to determine if they are milia and which spots can be safely removed. You can book a separate appointment for this or inquire about extraction as an add-on to another facial treatment.
Unsure if you have milia or blackheads? During an initial consultation, we will discuss which treatment is best suited for your skin.
Not available
Personal guidance disclaimer
A Fair Use Policy applies to personal guidance, including video calling, whereby medicademis reserves the right to limit the number of contact moments at its own discretion in the event of excessive demand for support (i.e., a structurally higher number of contact requests than the average for our other clients), and to communicate this unilaterally before proceeding to do so. Naturally, this reservation does not apply should complications unexpectedly arise after the treatment.