What can be done to correct purple discoloration in the under eye area 1 year after cortisone injection? (photos)

Question

One year ago, I had several Cortisone injections to fix an overfilled fat graph under my eye. The Cortisone injection left my skin thin and purple, almost dented, under my eye. I’ve had IPL and halo laser done to the area several times as well as micro needling. These have had no effect. I am at a loss. What can be done to fix this? It’s ruining my self esteem. Thanks in advance.

Anna Chacon, MD, FAAD · Answer

I'm sorry to hear about the challenges you're facing with the discoloration under your eye. Persistent purple discoloration and skin changes following cortisone injections can be difficult to manage, especially if treatments like IPL, Halo laser, and microneedling have not been effective. Here are a few potential options to consider discussing with your dermatologist:

Topical Treatments: Sometimes, topical creams containing ingredients like vitamin K, retinoids, or peptides can help improve skin texture and color over time. These can be used to promote collagen production and enhance skin healing.

Camouflage Makeup: While not a permanent solution, high-quality camouflage makeup can help cover discoloration and boost confidence as you explore other treatments.

Platelet-Rich Plasma (PRP) Therapy: PRP involves using your own blood plasma, enriched with platelets, to promote healing and tissue regeneration. This might help improve skin quality and reduce discoloration.

Dermal Fillers: If the area appears dented, dermal fillers might help to even out the surface and improve the appearance. However, this should be done cautiously and by an experienced injector.

Consultation with a Specialist: It might be helpful to seek a second opinion from a dermatologist or plastic surgeon who specializes in post-treatment complications. They can offer a fresh perspective and recommend the most appropriate interventions based on a thorough examination.

Time and Patience: Sometimes, these skin changes improve gradually on their own. Continuing to protect the area from sun exposure and using gentle skin care can help support this process.

It's important to have a detailed discussion with your dermatologist about these options to tailor a plan that's best suited for your specific situation. They can evaluate the skin's condition and recommend the safest and most effective treatment.

What can be done to correct purple discoloration in the under eye area 1 year after cortisone injection? (photos)

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