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Improving Depressed Scars and Fat Atrophy from Steroid Injections?

asked 3 years ago by deformedbydentist in Manama, Bahrain
Latest answer by Raffy Karamanoukian, MD
Question viewed 2,500 times
Tags: fat, scar

I'm 30 y.o. female who received 3 Dexamethasone shots in my bum after wisdom tooth extraction approx 3-4mos ago. I developed very large, deep depressed scarring/fat atrophy. Almost 1/3 of my butt cheek is gone due to atrophy. It's freaky.

My research revealed saline injections for depressed scars. I self-injected myself once already in scar area with simple saline 0.9 %. I did almost 60 1cc shots. If I keep it up for 8wks do you think it'll help?

Is there something else I can do? I really hoping that it will fill in one day. Pls HELP. Thank you.

4 answers to Improving Depressed Scars and Fat Atrophy from Steroid Injections?

+1

Adipose stem cell correction of depressed scars

Adipose stem cell correction is of high utility in the treatment of scars and iatrogenic scar depressions.  
Raffy Karamanoukian, MD

Los Angeles Plastic Surgeon
+1

Adipose stem cells for scar depression

I have seen some post corticoides depressions be cured after adipose stem cells injections. Your own fat is processed at 13860 G to extract the mesenchymal stem cells and the destroyed layers are restored. No hypercorrection is needed
Roger Amar, MD

Spain Plastic Surgeon
+1

Fat transfer is the gold standard for correcting these deformities

Adverent injection of steroids into the suncutaneous fat induce fat atrophy into the injected area that could surpass the amount of steroids injected. We all learned this from our expereince wih kenolog injection in hypertrphic scars and keloids. Tha management of your case is by autologous fat grafting. This procedure involve harvesting fat from your abdomen or thigh and after special filtration , the main fat cells will be injected the buttock area that suffered the volume loss. Best... more
Hisham Seify, MD, PhD

Los Angeles Plastic Surgeon
+1

Message and ??Fat Grafts

Ironically, I saw two patients this week with the same problem. One was due to an antibiotic given at a walk-in medical clinic and the second, like you, a steroid from a dental office. The former had occurred over a year ago and looked quite severe with a grey, scarred discoloration. The latter only a month ago. The medical name for your condition is secondary lipoatrophy. It is not clear why the fat cells dissolve after steroid injections but it is speculated that the shot affects... more
Arnold R. Oppenheim, MD

Virginia Beach Dermatologist

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