How can I get rid of persistent whiteheads on my forehead? (photo)

Doctor's Answers 1

Aesthetic

From the photo, you may have closed comedones (whiteheads). A close physical examination by your doctor will be needed to distinguish the two.

If you indeed have whiteheads, treatment options include topical retinoids (e.g. tretinoin, adapalene), chemical peeling and low dose isotretinoin. Your doctor will be the best person to discuss the various pros and cons of the above treatment options based on your expectations, efficacy, potential side effects, cost and secondary benefits.

If the final assessment is that of milia, treatment options include light electrocautery or nicking the skin to manually express the milia seeds under topical anaesthesia.

Upon initial successful treatment, the regular use of topical retinoids at night and periodic superficial chemical peeling may help prevent relapses.

All the very best!

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Is there any over the counter retinoid cream for milia in Singapore?

Thank you for your question. Differin and Epiduo are the two retinoids available over the counter. Both used to be prescription only. Epiduo also has benzoyl peroxide in it which makes it suitable for pustular and nodular acne. I would go with Differin if the intent is to prevent milia. However, do take note that Differin will not treat milia. Electrocautery or CO2 laser ablation are still needed for that and a regime of treatment and maintenance should be worked out by your doctor for best results. Hope this helps and all the best.

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How can I remove syringoma/milia under my eyes?

Thanks for sharing your photos with us. This is probably milia and they can be removed easily with a Smartxide CO2 laser. However, it can recur as some of the doctors here have mentioned. A good skin care regime, scrub or peel can help prevent the recurrence. The CO2 laser burns off these milia with minimal scarring and the downtime is usually about 2-3 days depending on each individual. I hope this answers your question. Have a great week ahead and all the best!

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