Indentation After Steroid Injection to Remove Hypertrophic Scar

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. 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 decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

One of the risks of using too much steroid in an area is that it will atrophy the skin and leave you with an indentation.  You may get a good result with having the area completely surgically excised and sutured back together.  I advise you see a board certified plastic surgeon for full evaluation.

You have sustained atrophy from the steroid injection where the tissue is markedly thinned out and often discolored. Most often the best treatment would be for excision of the area followed by very meticulous closure of the defect and close follow-up including using scar creams/silicone gel sheeting.

I would suggest that you have a local reputable board certified plastic surgeon assess the situation for you and provide you with the course of action most appropriate for you.