If you absolutely want them physically removed, a dermatologist or licensed esthetician can perform a sterile deroofing or incision and curettage procedure—a quick, precise nick with a sterile lancet to release the keratin plug. It heals rapidly with minimal risk.
But if you prefer a gentler, more gradual approach—and have patience—natural home methods can be remarkably effective.
How to Treat Milia Naturally and Safely at Home
These methods don’t work overnight. Milia are stubborn, and forcing them only backfires. But with consistency, you can encourage your skin to do what it’s meant to do: shed dead cells and renew itself.
1. Gentle, Consistent Exfoliation
The goal isn’t to scrub milia off; it’s to encourage cellular turnover so trapped keratin gradually works its way to the surface.
What works:
Lactic acid: A gentle alpha-hydroxy acid (AHA) derived from milk. It exfoliates while also supporting the skin barrier. Look for gentle, low-percentage serums (5-10%) and use 2-3 times weekly.
Mandelic acid: An AHA with larger molecules that work more slowly and gently—ideal for sensitive skin and the eye area.
Enzyme exfoliants: Pumpkin, papaya, or pineapple enzymes digest dead skin cells without any scrubbing.
What to avoid:
