Variants of milia successfully treated with CO(2) laser vaporization.

BACKGROUND

Milia are a usual consultation in dermatologic practice and optimal treatment modalities are not established.

OBJECTIVE

To evaluate the efficacy and the safety of CO(2) laser vaporization in the treatment of milia.

METHODS

We report four patients, aged from 12 to 50 years old, with different variants of milia: milia en plaque, milia post-photodermatitis, multiple eruptive milia and milia post-trauma. They were treated with the CO(2) laser in superpulsed and focused mode at 2 W/cm(2), with two passes in each session. The follow-up was 12-36 months.

RESULTS

All patients showed marked improvement after a few sessions of CO(2) laser. No-one had recurrence or noticeable side effects.

CONCLUSION

The CO(2) laser is an option in adult and child patients with multiple milia lesions or milia en plaque, obtaining good cosmetic results with minimal side effects.