What can I do about this indentation from a cyst removal and cortisone shot? (Photos)

Subcision , which I have been performing for thirty years is a simple, relatively inexpensive method for elevating and smoothing all kinds of indentations, which, unlike so many of the expensive, "here-today-gone-tomorrow" laser and energy-based gizmo treatments, has stood the test of time for safety and efficacy. Subcision can be performed with or without the addition of a filler, which, even in this location (in the hands of an experienced, board certified dermatologist filler injector)) can be performed with a gratifying outcome. Hope this helps and best of luck.

Hi there,

Thank you for sharing your experience and photos — I can completely understand how frustrating it must feel to notice an indentation that hasn’t improved over time, especially after already undergoing treatment.

Indentations like this can sometimes occur after cortisone injections, as the medication can thin the fat or tissue beneath the skin (known as lipoatrophy). Unfortunately, this process can be slow to reverse, and in some cases, the skin doesn’t fully recover on its own. Since it’s been eight months and you’re noticing that the area seems more indented, it’s reasonable to explore treatment options that can help restore volume or texture.

Here’s a breakdown of what’s typically considered:

Fractional laser resurfacing can help improve texture and mild unevenness but usually won’t completely correct a volume deficit.

Filler treatments (using a small amount of hyaluronic acid) can effectively improve the indentation if performed by an experienced injector who understands the anatomy of this area. It’s true that this region is sensitive and carries some risk due to the underlying blood vessels, but with proper technique and safety measures, it can be done successfully.

In cases where fillers aren’t ideal, fat grafting or subcision may be alternative options to restore fullness more naturally.

While gradual improvement can still occur, since it’s been several months, additional intervention might be needed to achieve a smoother result. Your approach so far — being patient and exploring conservative treatments first — has been absolutely the right one.