Hello, Small milia can be easily removed at doctor's office by a simple procedure after numbing your skin. Side effects are minimal and results excellent. For dull skin you may opt for skin peeling sessions or polishing both of which treatments help removing dead skin cells and reveal fresh glowing skin. For best results it is combined with topical creams which may include topical skin lightening creams, retinoids and vit c serum. Use a good sunblock daily in morning and noon. Exercises and daily intake of fresh fruits and vegetables with make skin more healthy. Hope this helps. Warm regards, Dr Pinanky Jadhav, Eternis Clinic, Pune