Can Fraxel Repair Permanently Remove Milia?

Can Fraxel Repair remove milia?  If so, will they return eventually?

Doctor Answers 2

Fraxel not the first choice for management of milia

Fraxel is not necessarily the best way to treat milia.

In fact, this has the potential to cause milia.

Any penetrating injury can be a setup for mila formation.


Chicago Plastic Surgeon
5.0 out of 5 stars 56 reviews

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No Way

Hopefully, you are not undergoing something as expensive as Fraxel to remove milia. I suppose as a side benefit, Fraxel will probably remove many milia but there certainly are other, less intrusive and cheaper methods such as extraction. It would be more prudent to wait for a dermatology problem and have your dermatologist remove them gratis.

As for permanence, Fraxel, extractions and dreams can not prevent them from recurring. Using a Retinoid ( such as Retin A, Tazarac, or Differin) or an alpha or beta hydroxy acid would help. Also, making sure your makeup is is not too occlusive will help ( powders preferred over thicker liquid). Do not use anything that will abrade or irritate the skin such as a strong exfoliant. Sunscreen also will help cut down on milia especially in the areas lateral to and below your eyes. .

Arnold R. Oppenheim, MD
Virginia Beach Dermatologist
4.5 out of 5 stars 10 reviews

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