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Milia Removal
Milia Removal in Rainford, St Helens
Milia are the small, firm white bumps that sit just under the surface of the skin, most often around the eyes, on the cheeks and across the nose. They are keratin trapped beneath the skin rather than spots, which is why squeezing them does nothing except damage the skin around them.
They are harmless. They are also, for a lot of people, the thing they notice every time they look in the mirror.
At Hannah Clarke Advanced Skin and Beauty in Rainford, milia are treated with Cryopen by a registered children's nurse, in a treatment that takes seconds per lesion.
The same device is used for skin tag removal, and wart and verruca removal has a page of its own.
Why you cannot squeeze them out
Milia are not blocked pores, and treating them like spots is what causes the damage.
A spot is a blocked pore with an opening. Milia are keratin sealed beneath the surface with no opening at all, which is why they do not respond to squeezing, to pore strips or to the products that work on breakouts. What squeezing does achieve is bruising, broken capillaries and sometimes scarring, on some of the thinnest skin on the face.
Cryopen treats them precisely, one at a time, in seconds.
Because milia sit most often around the eyes, this is an area where precision matters and where the consultation is not a formality. Lesions in delicate areas can absolutely be treated, they just need careful consideration first.
If milia are appearing repeatedly, it is worth a conversation about what is causing them rather than only removing the ones that are there.
Your appointment, and what happens after
Treatment starts with a consultation to check that you are suitable. The lesion is assessed and photographed for your records.
The treatment itself is a freeze, thaw, freeze process. It feels very cold, like ice, and lasts a matter of seconds. Numbing cream is not usually needed for a single lesion. Allow around twenty minutes for the appointment, although the treatment itself takes seconds.
It can be uncomfortable depending on where the lesion is, but it is generally well tolerated.
Healing. The area may look red and feel a little itchy. Keep it clean and dry. You can shower and bathe as normal, and carry on with your usual activities including the gym. The main thing is to avoid the area becoming infected.
The lesion will typically blister, scab and crust, and that generally falls away within one to two weeks. You come back for a review at two weeks, or sooner if anything concerns you.
Who it is not suitable for. Cryopen is not indicated during pregnancy. Raynaud's is a consideration where we would be treating hands or feet. Lesions in sensitive areas can be treated but need careful thought. In darker Fitzpatrick skin types there is a greater risk of hyperpigmentation after removal, which is one of the reasons the consultation comes first.
If there were anything about a lesion that caused concern, she would speak to your GP with your permission rather than treat it. And if Cryopen were not the right answer, she would tell you where to go instead.
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Treated by a registered children's nurse
Cryopen at Hannah Clarke is delivered by a registered children's nurse.
That matters here more than on most treatments. It means children can be treated, which very few salons offering lesion removal can say, and it means clinical judgement about what should and should not be treated in the first place.
There is no upper age limit either. Clients range from children with verrucas through to people in later life having lesions removed that have bothered them for years.
If a lesion is not suitable for Cryopen, or if there is anything about it that raises a question, she will say so, and with your permission she will speak to your GP rather than treat it.
FREQUENTLY ASKED QUESTIONS
What are milia?
>Small, firm white bumps of keratin trapped just beneath the surface of the skin, most often around the eyes, on the cheeks and across the nose. They are harmless.
Can I squeeze milia out?
>No. Unlike a spot there is no opening, so squeezing does not release anything. What it does risk is bruising, broken capillaries and scarring, on some of the thinnest skin on the face.
Can milia around the eyes be treated?
>Yes. Lesions in delicate areas can be treated, they just need careful consideration, which is what the consultation is for.
How many sessions does milia removal take?
>Milia are not viral, so they generally clear far more quickly than warts or verrucas. The number depends on how many you have and where they are, and that is confirmed at consultation.
Who carries out the treatment?
>A registered children's nurse, which means children can be treated as well as adults, and there is no upper age limit.
Does it hurt?
>It feels very cold, like ice, for a few seconds. It can be uncomfortable depending on the location, but it is generally well tolerated. Numbing cream is not usually needed for a single lesion.
How long is the appointment?
>Around twenty minutes, although the treatment itself takes seconds.
What happens afterwards?
>The area may be red and slightly itchy. Keep it clean and dry. You can shower, bathe and carry on with normal activities including the gym. The lesion typically blisters, scabs and crusts, and that falls away within one to two weeks. You return for a review at two weeks.
Who cannot have Cryopen?
>It is not indicated during pregnancy. Raynaud's is a consideration when treating hands or feet. Lesions in sensitive areas can be treated but need careful thought. In darker Fitzpatrick skin types there is a greater risk of hyperpigmentation, which is one reason the consultation comes first.
How much does it cost?
>One to three lesions is £60, then £5 per additional lesion. Very large areas or high numbers of lesions are priced bespoke, per canister, and confirmed at your consultation.
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