I have had a scar injected countless times with kenlog 2.5 with minimal success over 5-6months . I do not have ANY atrophy. The scar is still thick although somewhat smaller. I am convinced I need to try a higher level of kenalog at this point. Is there any reason why I can't have kenalog 10 injected into my facial scar? Also, have any of you ever had kenolog fail at diminishing scar tissue, no matter what the strength? Am I just not getting a strong enough dose? Or does it not work sometimes?
Kenalog Strength and Frequency?
Doctor Answers 2
Kenalog strength and frequency
Each physician may have a different preference for the strength and frequency of Kenalog treatment to help reduce scars. My personal preference is to use Kenalog 40, although I dilute it to a strength of Kenalog 20. I prefer to wait at least a month in between injections. As long as there is improvement, I will continue with the injections until reaching a satisfactory point. And yes, it is possible that Kenalog may not work on all scars.
Kenalog strength for scars
If you are receiving only Kenalog 2.5 mg/cc, the strength is so low you will never get results in flattening a scar. In general I use Kenalog 40 for hypertrophic scars and early keloidal scars along with lasers to reduce the vascular component. Once a scar begins to soften we often will switch to Kenalog 10 in order to avoid possible atrophy to the skin.