Dr. Neal Schultz: Hello, I'm Dr. Neal Schultz, and welcome to the DermTV.

Acne could be a very difficult problem both medically and emotionally. But one of the most frustrating parts of the medical treatment of acne is the treatment of milia. All of acne is composed of two types of problems either they are inflamed bumps like puss pimples and cysts or non-inflamed problems like white-heads and black-heads. A milia is a white head that is just a tiny cyst, it's a white dome shape bump on the skin. It really is thicken skin and actually a mini cyst. The reason that so difficult to get rid of them is because you need to dissolve that thickened skin on the top of the cyst. It can only be done with exfoliants like glycolic or salicylic if you are doing it at home.

In the dermatologist office we take a pin, break though the surface painlessly, and push the contents out and it goes away immediately. But if you are going to treated at home it's very frustrating because it takes a long time and repeated applications of the exfoliants. So, please bare in mind that if you have milia on your face while it can be treated medically it can be frustrating and the easiest way to get rid of them in a flash is to see your dermatologist who will make them go away in an instant.

Please join me again at DermTV.com. If you have a question, please send to me by visiting: dermtv.com/question. I'm Dr. Neal Schultz and thank you for watching today.