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Notes on change, skin, and the journey to your truest self.

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Milia: What are they & How to Remove Them?
Apr 30, 2025

Milia: Causes, Differences, and Removal Tips

Milia are small, firm bumps often mistaken for whiteheads. This article explains the difference between milia and whiteheads, highlighting their causes and characteristics. Learn where milia typically appear and gain insights into effective removal methods for clearer skin.

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Decoding Textured Skin: Causes & Solutions

Published at: Apr 9, 2025

Understanding the Root Causes of Textured Skin

Understanding the Common Root Causes of Textured Skin

The first step in addressing textured skin is identifying the underlying cause. Skin texture issues often manifest as either raised or depressed lesions, each with distinct origins and requiring different treatment approaches. Identifying what's creating the bumps and valleys is key to unlocking radiant skin.

Raised Skin Texture: Common Culprits

Raised texture presents as bumps or elevations on the skin’s surface. Several factors can contribute to these irregularities. These are some of the common issues that can cause a raised texture to your skin:

  • Whiteheads (Closed Comedones): These are precursors to acne and develop due to clogged pores. They appear as small, smooth, shiny, white bumps. They frequently surface in the T-zone, which includes the forehead, nose, and chin, but can show up in any spot.
  • Milia: These are small cysts of keratin, a type of protein found in skin and hair. They are typically observed around the eyes, but may appear anywhere on the face. Milia can be a smooth, pearly white, and raised.
  • Dermatosis Papulosa Nigra (DPN): Commonly observed in darker skin tones, these are small, black, raised dots that can be felt upon touching the skin.
  • Syringoma: Flat-topped lesions near the eyes. Asymptomatic, they might be seen with milia. Syringomas are cysts that can worsen over time.
  • Ingrown Hairs: Occurring more often with hair removal techniques, ingrown hairs manifest as small, red bumps on the skin. Side locks and the upper lip are common locations.
  • Keratosis Pilaris: Characterized by bumpiness in the skin of the hair follicle.

Depressed Skin Texture: Addressing Indentations

Depressed skin texture, on the other hand, involves indentations or dips in the skin’s surface. This includes open pores, acne scars, and fine lines.

  • Open Pores: Open pores may appear on the nose and cheeks.
  • Acne Scars: Atrophic or sunken acne scars are a permanent reminder that can exist wherever acne was present on your face.
  • Fine Lines: Fine lines result in skin depressions or folds. Nasolabial folds and lines around the lips are common.

Home Remedies for Smoother Skin

Effective Home Remedies for Achieving Smoother Skin

While professional treatments can offer dramatic results, consistent home care is essential for maintaining smooth skin. Incorporating gentle exfoliation and collagen-boosting ingredients into your routine can significantly improve skin texture.

Chemical Exfoliation: Sloughing Away Dead Skin

Chemical exfoliation is pivotal in shedding old and dead skin cells, so a fresh layer of skin is revealed. This also ensures other skincare products penetrate the skin. Common at-home products include:

  • Salicylic Acid: Salicylic acid serums can be used twice a day if you have oily skin. Normal and combination skin may use serums on alternate nights. Limit your salicylic use to twice a week for dry skin.
  • Glycolic Acid: Glycolic acid causes gentle skin exfoliation.
  • Lactic Acid Peels: Safe for sensitive skin types, lactic acid helps remove bumps and promotes smoother texture.

Encouraging Collagen Production

In addition to shedding old skin cells, generating new skin cells is just as important. To do that, you have to build collagen through products with key ingredients like:

  • Retinol Serum: Retinol serums can help improve the texture of your skin by helping to build collagen. At least nine months of consistent use are needed to see results.
Dermatologist-Recommended Procedures for Severe Skin Texture

For more stubborn or severe skin texture issues, professional treatments at a dermatologist's clinic can provide targeted solutions. These procedures offer deeper exfoliation, collagen stimulation, and targeted removal of unwanted growths.

Advanced Exfoliation Techniques

Advanced exfoliation is completed by dermatologists for serious cases. These are some common options:

  • Microdermabrasion: Can help get rid of the dead skin layer that makes pores look noticeable.
  • Radiofrequency Ablation: RFA is able to burn growth off your skin, such as skin tags or Dermatosis Papulosa Nigra (DPN).
  • Needle Extirpation: Great for removing ingrown hairs, whiteheads and milia.
  • Chemical Peels: Higher concentrations are available with your dermatologist’s care.
  • Carbon Peel: Shrinks pores and minimizes acne. A layer of carbon is applied before an Nd:YAG laser bursts the carbon.

Advanced Skin Resurfacing

  • Fractional CO2 Laser: Creating small microburns to improve the skin by healing and forming a new collagen layer, as well as the formation of new skin.
  • Microneedling Radiofrequency Devices: Helps improve pores and acne scars.

Product Recommendations for Improved Skin Texture

Recommended Skincare Products for Addressing Textured Skin

This section provides a compilation of recommended skincare products that target various aspects of skin texture improvement. This guide helps you build a skincare routine that targets the specific issues that need to be addressed to achieve healthy, smooth, and radiant skin.

Products for Acne Scars

These help to resurface the skin so that the acne scar fades over time with consistent and deliberate use.

  • Minimalist Salicylic Acid Serum.
  • The Derma Co Salicylic Acid Face Serum.

Products for Pigmentation

  • Dr Sheth’s gentle peel.
  • Suganda Lactic Acid peel.

Products for Deep Hydration

Products to help lock moisture into the skin after applying all of your actives to keep the skin balanced.

  • Minimalist Retinol + Q10.
  • Chemist At Play Anti-Aging Face Serum.

Building a Consistent Skincare Routine

Creating a Consistent Skincare Routine for Long-Term Skin Health

Consistency is just as important as the products you choose. Building a routine with exfoliation, and rich hydration, and collagen growth results in long-lasting and smooth skin.

Cleansing

Make sure you are always washing off anything you have applied to your face and any dirt that you've been exposed to throughout the day. This creates a good base for serums and lotions to be applied.

Toner

Use this to remove excess dirt and oils if you're prone to acne and an oily T-zone.

Serums and Treatments

The key to building texture is both resurfacing with acids and new formation with retinols and moisturizers to keep your skin barrier balanced.

Lotion or Cream

Make sure that you are applying a product appropriate for your skin that will help to hydrate. Remember that hydrating and moisture is not the same.

Sunscreen

Protect your skin from damaging UV rays.

Conclusion

Achieving smooth skin requires a multifaceted approach that begins with understanding the specific causes of your skin texture issues. Whether it’s raised lesions like whiteheads or depressed textures like acne scars, identifying the root cause allows for targeted treatment. By incorporating a consistent skincare routine with gentle exfoliation and collagen-boosting ingredients, alongside professional procedures like microdermabrasion or laser treatments, you can unlock a smoother, more radiant complexion and regain confidence in your skin.

Frequently Asked Questions

Q: What exactly is "textured skin"?

Textured skin refers to any surface irregularity on the skin, whether raised (bumps) or depressed (indentations). It’s not necessarily a health concern, but it can affect the appearance of your skin.

Q: Can I use both salicylic acid and retinol in my skincare routine?

Yes, but proceed with caution! It’s best to use them on alternate nights to avoid irritation. Always introduce new active ingredients slowly and monitor your skin's reaction.

Q: How often should I exfoliate to improve skin texture?

This depends on your skin type. Oily skin can tolerate exfoliation 2-3 times per week, while dry and sensitive skin should limit exfoliation to once or twice a week.

Q: What are some effective treatments for acne scars?

Microneedling, chemical peels, and fractional CO2 laser treatments are all effective for reducing the appearance of acne scars.

Q: When should I see a dermatologist for textured skin?

If home remedies and over-the-counter products aren’t providing the results you desire, or if your skin texture is caused by a specific condition like acne or rosacea, seeing a dermatologist is recommended for a professional diagnosis and tailored treatment plan.

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