Milia removal Bristol

Millia

A milium cyst is a small, white raised bump on the skin that typically appears on the nose and cheeks, however can appear anywhere on the face or body. The bumps are often found in groups called milia.

Milia are very common in newborn babies and referred to as ‘milk spots’. Unlike spots or pimples.

A milium cyst occurs when keratin (a strong protein that is found in skin tissues, hair and nail cells) becomes trapped beneath the surface of the skin. Milia can occur in all ages but is most common in newborn babies. They’re typically found on the face, eyelids and cheeks.

milia removal Bristol

Milia treatment Bristol

Cryotherapy How it works

What happens during a treatment?

The super fine applicator is held closely to the skin imperfection and liquid nitrogen sprayed onto the distorted, unhealthy tissue only. This is usually from 1-30 seconds, depending on the size and depth. The legion is then allowed to thaw and return to its natural colour. The process may be repeated in the same session if required.
 

Are there any side effects?

Cryotherapy is non-invasive and relatively low risk.

  • There are a few side effects that may occur as a result of treatment, including:
  • Temporary pigmentary changes (hypopigmentation and hyperpigmentation) in the treatment site. If this happens skin colour normally returns after a few months.
  • Temporary loss of sensation (particularly in areas where nerves lie close to the surface of the skin, on fingers, wrist, area behind the ear) Reports show that normal sensitivity returns after a few months.
  • Blister in the treatment area – this will be reabsorbed by the skin.
  • Side effects are very rare, but please discuss any concerns you have with your clinician.
  

Cryotherapy Frequently asked questions

How long do Cryotherapy treatments take?

Application time is 1 to 30 seconds, usually with one or two passes per treatment – depending on your individual assessment. Application for small lesions like skin tags & milia is just a few seconds. We usually book a 30 minute appointment session, which give us time to do a full consultation before your treatment.

How much will the treatment cost?

The cost of treatment will depend on the type of imperfection and the size of the area. Individual costs can be discussed over the phone or at a face to face consultation. You may require more than one session depending on your response to the treatment – should this be required, we offer this at a discounted rate.

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How safe is cryotherapy with Cryotherapy?

Cryotherapy is a low-risk procedure. Cryotherapy rapidly cools the targeted area and and not the healthy surrounding tissue.

Does it hurt?

It is virtually painless. The accuracy of Cryotherapy means that healthy skin around the site of the lesion is less likely to be effected, and therefore it is not painful. Treatment is generally very well tolerated, even with those with a low pain threshold. The sensation is similar to a stinging nettle on the skin when the nitrous oxide reaches the bottom of the area, but this vanishes quickly. There might be a little residual stinging for a few minutes after treatment.

The area will be slightly itchy for about ten minutes. Occasionally a blister might form and persist for a few hours.

What is the after care?

After care is minimal as there is no wound or raw area. However, a small blister is not uncommon in the first 24 hours, this is reabsorbed by the skin quickly. The lesion will dry up, assume a darker colour and slough off in 1 to 2 weeks. It is very important not to pick at the area as this will increase healing time.

What is the expected healing process?

Healing occurs from 1-6 weeks depending on depth of and size of lesion. Lesions usually assume a darker colour (this is the dead cells), as the skin regenerates underneath it will slough or flake away.

Will it leave a scar?

Generally no. Cryotherapy preserves the tissue matrix which is relatively cold resistant, and therefore allows for proper cosmetic healing with minimal scarring. This will of course depend on your skin type, and how well you follow the aftercare advice.Hypo-pigmentation in the area (a small pink patch of skin, where new skin has formed, that is lighter in colour) may be visible for 2-6 months. This color loss may take longer to return in darker pigmented skin.

Hypo-pigmentation in the area (a small pink patch of skin, where new skin has formed, that is lighter in colour) may be visible for 2-6 months. This color loss may take longer to return in darker pigmented skin.

What if I have darker skin?

Repeated short freezing cycles recommended if you have a darker skin type. This just means that you may need two sessions spaced a few weeks apart to remove your lesion rather than just one.

Can children be treated?

Yes, because of the reduced discomfort, we are often able to treat younger patients without distress. You will be asked to fill in a parental consent form before your child’s treatment.

Who isn’t the treatment suitable for?

Pregnant or breastfeeding women and those with auto-immune disorders or cold sensitivity are not suitable for treatment. It is not suitable for those that suffer from keloid scarring.

Milia are small white lumps that usually form around the eyes or other areas of the face. If you find yourself suffering with this condition, the first question to ask yourself is whether you really do need to consider milia removal.

Suffering from milia is certainly an inconvenience as they are often unsightly, although they are benign growths and don’t necessarily require treatment.

At Pro Clinics in Bristol, we use a device called a Cryopen that quickly and painlessly freezes the milia. The treatment is very effective and only takes a matter of seconds to carry out.

There are plenty of people with milia that decide that they want to do something about it, and decide to look further into milia removal. Rather than just living with the condition, many people prefer to undergo milia removal because they are bothersome or unsightly.

There are many different treatments available if you decide that you would like to remove milia Some milia cases can be treated with an over the counter treatment such as a milia home remedy lotion. Milia removal is also sometimes possible by exfoliating the area which causes cell turnover thus gradually eradicating the milia;  the exfoliation process keeps the outer layer of skin smooth and thin, and can be particularly effective for people suffering with eye milia. However, only gentle exfoliant scrubs, as recommended by your skin specialist, should be used for milia removal.

Another potentially helpful remedy is retinol, which is often used for milia removal. These products should not be used anywhere near the eyelids unless a specialist has specifically instructed you to do so.

In some cases milia won’t go away no matter what you do on your own. If this is the case then you will probably require specialist milia removal from a trained clinician. There are many different ways of treating milia. One way is to extract them. This entails cleansing the skin with an antiseptic to open the skin above the milia with a sterile instrument, and then applying pressure with a milia removal tool called a comedone extractor.

There are other techniques for milia removal such as electrodessication, laser therapy, chemical peels, cryotherapy, or dermabrasion. The type of treatment also depends on the area affected, incision and drainage is favored by some specialists when there are only a few lesions, with alternative milia removal techniques usually reserved for widespread areas and for patients with other problems. The upper eyelid is one of the trickiest spots to remove milia from, since the clinician can’t just push on the area without harming the eyeball. In these cases,  the lid has to be pulled up or to the side, and this can be difficult.

Generally Milia treatment is very quick and easy and there are many different ways of tackling the problem. One method is by using electrolysis. Many milia treatments are performed using the thermolysis current or short wave diathermy which is an AC/RF/HF (Alternating current, radio frequency, high frequency) current.

The energy created desiccates the hard fatty tissue and instantly breaking it down, allowing it to disperse into the body.

Another effective method of milia treatment is one whereby the hard keratin is picked out by use of a microlance or sharp implement of some kind.

Electrolysis milia removal is where a tiny electrolysis needle (about the size of an eyelash) is inserted and the current is applied.  This method is repeated over the whole surface area of the Milia. When performed correctly, a ‘popping’ sensation is often experienced as the needle pierces the keratinized centre of the Milia.  A few days later a tiny crust may form which must not be removed but left to drop off.  For completely successful milia treatment large Milia may require a 2nd treatment 3-4 weeks later.  Electrolysis was invented by an ophthalmologist for in-growing eyelashes over 100 years ago, therefore it is perfectly save to use around the eye area allowing milia on the eyelids and even between the eyelashes to be treated quickly, easily and safely.

A lot of people experience extensive milia as an ongoing condition and others experience them as an occasional minor skin complaint which occasionally seems to appear.  Whichever category one comes under, with such a large percentage of the population suffering, what’s the best milia treatment is a common question that we hear.

Preventing milia before they actually form is the best way of tackling this issue, and importantly people must try to use a series of home prescription products to prevent the build-up of the keratin in the skins surface, including manual extraction – this milia removal technique involves making a tiny piercing in to the cyst and removing the blocked keratin.

In particular the use of a Vitamin A moisturizer, which offers the benefit of normalizing the cell turnover, therefore reducing the layers of dead skin cells that trap the keratin. Cosmetic procedures for milia removal involves the use of a tiny metal probe and an intense heat over the whole area of the milia, to in effect soften the keratin, reducing the risk of scarring. Depending on the amount of milia , it’s important to first use various facial treatments to soften the skin making the extractions easier and quicker.

In young babies, milia removal  is not required since they typically clear within the first few weeks of life. In older children and adults, milia can clear naturally within a few months.

Milia are often found on the upper cheeks or around the eyes and milia removal can be done by a dermatologist or skilled esthetician. Milia removal can be carried out by a specialist, but for home treatment, the best advice is: consistent gentle exfoliation because harsh exfoliation can actually cause an outbreak of milia. Products with pineapple enzymes are also advised as it provides exfoliation inside the pore without the abrasion.

If this fails, then Pro Clinics are able to quickly and easily freeze the milia using a cold jet of liquid nitrogen.

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