How can I treat atrophy following Cortisone injections in my cheeks? (Photo)

Question

2 years ago I had a surgical procedure on my face which caused some prolonged swelling of my cheeks. In November 2022, my doctor injected my cheeks with steroids (triamcinone) and I have developed rather large, noticeable dimples in my cheeks, almost greenish in colour. I know this is likely fat atrophy, however, what can I do to improve this? Is there any other option to dermal fillers?

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis.  We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. .

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Nelson Lee Novick, MD · Answer

Subcision, which I have been performing since 1995 is a quick and inexpensive technique for elevating and smoothing all kinds of atrophic indentations in the skin. It works by stimulating new, native collagen and elastic fiber synthesis so the results of treatment are long-lasting to permanent. You would be wise to consult with a board certified cosmetic dermatologist with extensive experience in performing subcision. Best of luck

How can I treat atrophy following Cortisone injections in my cheeks? (Photo)

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How can I treat atrophy following Cortisone injections in my cheeks? (Photo)

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Everything you need to know about Scar Removal

Our mission is to create a world where every investment in modern beauty is Worth It.