Milia around the mouth that were stubborn!

This woman came with her daughter for cosmetic treatments, but I noticed some small blackheads on the left side of her lip. When I pointed them out to her she stretched the skin of her left lip to show me she had some pretty big milia on the left side of her lip that she had for quite awhile. She’s has tried to remove them before multiple times without success. She was very happy to have them removed
Sorry about the blurry video! These were tough to remove because the milia were very adherent and deep under the skin. Also, it’s a very sensitive area, but she is not in pain, because I numbed up the area with local anesthetic first.
Thank you for watching!!

A milium (single for milia) is a small superficial cyst formed in the top layer of the skin called the epidermis. They appear as tiny, pearly-white bumps just under the surface of the skin. They contain keratin (skin protein) and are harmless. They are often seen on the face, in particular on the delicate skin around the eyes. They can be prevented or minimized with exfoliating like chemical peels, microdermabrasion or topical retinoids. However, they are sometimes difficult to remove without a physician’s help, since they cannot simply be squeezed out. Often, the surface of the skin has to be pierced first with a lancet, a sharp pointed blade, or a needle, in order to successfully remove the milium. Often a comedone extractor is used to express the milium.

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This video may contain dermatologic surgical and/or procedural content. The content seen in this video is provided only for medical education purposes and is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

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