Scar on cheek! Will kenalog help? Or will I have an indent?
Doctor Answers 3
Hypertrophic scars and IIT
I would recommend conservative IIT followed by fractional lasers for hypertrophic scars on the cheeks. Aggressive cortisone can cause atrophy.
Treatment Of Scarring On Cheek
A question such as the one you pose requires us to know your ethnicity and skin type, age, when and exactly how the injury happened, etc. A picture would also help us determine whether what you have is an hypertrophic scar or an actual keloid.
The treatments you mentioned, micro needling, kenalog injection, a combination of different lasers, as well as treatment with 5-FU might all help, but the dosing, energy, frequency, treatment intervals, and order of treatment must be customized to the patient's unique situation. One must also be judicious in the use of kenalog, since too large a dose can cause fat atrophy and contour irregularities. You would probably derive the most benefit from an in person consultation with a dermatologist or plastic surgeon.
Keloid Facial Scar--Combination of Fraxel, 5fu/steroids, pulsed dye/vbeam/yellow laser, surgery
Without pictures, it's difficult to tell. A combination of lasers and 5fu/steroids will improve appearance. Surgical removal is also an option. See an expert. Best, Dr. Emer