You have a healthy and balanced diet.

You hydrate properly, because you know that it is ideal to maintain your good health and also, it makes your skin look beautiful.

Every night you remove your makeup and also clean and apply moisturizers on your skin. However, all of a sudden, annoying and unsightly white dots appear near your eyes.

What are they?

Those hard white dots that suddenly appeared on your face are not pimples, pimples or blackheads.

They usually appear on the cheeks and around the eye, beyond the bags, dark circles and crow’s feet. They measure about a millimeter in diameter and are called millium. They consist of small epidermal cysts, located in the superficial region of the skin.

They are also called closed comedones, because they are like pores that have lost their way out. They are not harmful to health, but they are very unsightly. They do not contain sebum but keratin, the substance that makes up the most superficial layer of the skin.

Milliums are very common in newborns, although they can appear in anyone, especially those with oily skin or who use occlusive cosmetic products.

They arise spontaneously or after having suffered damage to the skin, as a result of burns or skin diseases that cause blisters, after having applied powerful corticosteroids for a long time or the intake of certain drugs. They can appear due to a genetic predisposition or as a result of a local healing process.

The millium cyst forms in the hair follicle, the space through which the hair grows and through which the sebum produced by the sebaceous gland also passes. In this case, a black dot does not form on the outer part of the epidermis, but rather a compact ball of keratin and that is why they are hard and whitish in color.

The excess of keratin that settles there plugs it and generally, not even an exfoliant can make it pop. No matter how hard you squeeze that white pimple, you’re not going to get it out without suffering or damaging your skin.

how to avoid them

It is possible to take certain precautions that help prevent the appearance of the annoying millium.

The first measure is to use products that reduce the thickness of the outer layers of our skin, making it easier for the pores to “breathe better” and not become occluded. Products that perform a superficial peeling of our skin are beneficial. This can be achieved in consultation with a dermatologist, but also with a gel or cream containing retinol, glycolic acid, salicylic acid, retinoic acid, gluconolactone or any other substance capable of reducing the thickness of the skin’s stratum corneum. In any case, your dermatologist will be able to advise you on how to take care of your skin at home, since not all are the same.

The second important measure to prevent the appearance of the millium is to avoid the use of creams that leave the skin too oily, since they clog the pores. Another fundamental aspect is caution with the use of very dense makeup, because like creams, they will cover the pores, thus favoring the appearance of these annoying white balls.

It is vital not to overdo exposure to the sun, because it increases the thickness of the superficial layers of the skin, making it difficult for the pore to breathe and facilitating the formation of millium cysts. This thickening of the skin would also explain the regrowth that many acne patients have during the summer or shortly thereafter.

How to remove them

It is possible to make these unsightly spots disappear, which, over time, can turn yellowish, which makes them even more unsightly.

To remove them, a deep cleansing of the skin is necessary. The work of a specialized professional will ensure that the process is carried out safely and efficiently.

There are techniques and equipment that facilitate the extraction of millium. Aesthetic clinics, for example, use ozone steam immediately after exfoliation, which helps to open the pores and leave the skin softer.

Experts can also use exfoliating creams or perform a diamond, crystal or chemical peel. In other cases, retinoic acid is applied and it may even be necessary to use a microneedle, which will break the skin that covers the cyst to drain its content.

Another way to remove millium cysts is by laser or electrocautery, producing a small scab that falls off in a few days, leaving little mark. Following the removal of the milium, a high-frequency device may be used to help the skin heal and relax. In addition, a mask is applied, generally soothing, which varies with each skin type, for a period of 10 to 20 minutes, to reduce irritation and calm the affected region.

What you should NEVER do

As important as knowing what to do against the millium, is to be clear about what to avoid when they have already made their appearance.

In no case should these white balls be squeezed. If we do, it is most likely that the ball will remain intact, but the surrounding skin will break, generating marks and scars. This is because they are balls with a “roof” that must be broken before squeezing.

If you puncture the roof of the cyst with a needle (disinfected with alcohol), you will only need a slight lateral pressure for the content to come out, without injuring the adjacent skin. The small wound caused by the needle will heal in a few days without leaving any mark.

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