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How effective is laser treatment for milia around the eyes?

Acne & Scars Skin, Hair & Nails

I have milia seeds around my eye area due to overproduction of oil. I would like to seek out laser treatment. How effective are laser treatments for getting rid of milia?

DOCTOR’S ANSWER (2)

Hi!

Sorry to hear that you are troubled by milia around your eye area! Milia are a common cause of lumps and bumps around the eye that I treat very often. They are small, benign, keratin filled cysts that originate from blocked sweat glands.

How effective is laser treatment for milia around the eyes?

In my experience, laser treatment for milia is very effective.

I use an ultrapulse CO2 laser that, due to the ultra-short pulses, delivers a mainly ablative effect with minimal collateral thermal damage. True milia would be removed immediately by the laser treatment, leaving a very tiny wound that heals without scarring in most cases.

Generally, milia (once treated with laser) do not recur very quickly but new milia may develop over time. Steps should taken to reduce the chance of new milia developing, such as avoiding trauma to the area (rubbing) sun protection, non-comedogenic products, regular exfoliation with chemical peels and retinoids. 

It is important to differentiate milia from other causes of lumps and bumps around the eyes that may be more difficult to eliminate or tend to recur such as syringomata, xanthelesmata, sebaceous hyperplasia, warts, skin tags, etc. For example, syringomata are often mistaken for milia by patients. Depending on the actual diagnosis, the approach may be different. For example, insulated radiofrequency needles or high frequency radiofrequency, etc.

Do consult a doctor who can examine you in detail, discuss the pros and cons of laser treatment for milia and advise on the best course of action!

Hope this helps!


Warmest regards,

Dr Wan Chee Kwang

References

  1. Yates et al. Laser treatment of periocular skin conditions. Clinics in Dermatology, 33(2), 197–206.
  2. Pozo et al. Variants of milia successfully treated with CO2laser vaporization. Journal of Cosmetic and Laser Therapy, 12(4), 191–194.
289 views 17 Jan 2019

Bumps on the face, especially around the eyes, can be one of many things - syringomas, sebaceous hyperplasia, true milia, seborrheic keratosis, and so on.

Certain lesions are easily removed and, when done properly, should not recur too soon. These include milia and seborrheic keratosis. Syringomas and Seb. hyperplasia, on the other hand, do tend to recur rather quickly, so balancing the expectations of result longevity vs the downtime from the laser might be a good idea.

Removal of the lesions is just the first step; proper skin care and sun avoidance is the next step in maintaining the results and preventing recurrence from occurring too soon. This can involve the use of retins/adapalene, acidic toners, regular clinical grade chemical peels, the use of light, non-comedogenic products, and definitely proper sunscreen.

Do get a proper physical examination of the lesions you are concerned about so that you can make a proper, informed decision on the removal of them.

Best Regards,

Dr Shane Abucewicz Tan

338 views 12 Jan 2019
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