I was injected in 2 places with cortisone for acne cysts (above lip and corner of mouth) leaving me with depressions in the skin! I was told by the derm that if the skin pits I could get filler. I’ve since been told that this will work but won’t heal it completely but also been told that filler can cling to scar tissue and make the indent look worse!! Would filler be best? I’ve also been recommended saline and I’ve read about fat grafting? It’s hard to know who’s advice to follow.
Answer: Scars Dear Magical,I’m sorry this happened, but it’s a likely side effect of the cortisone, no matter who performs it unfortunately. I would try simple things first. I’m not sure the saline will work that well on it’s own. It can be used initially to assist in untethering the scar from the base with the help of subcision (where a sharp instrument cuts the fibres that attaches the top of the skin to the base). Once the scar is mobile then one could fill with a dermal filler. The choice of this can be discussed with your medical aesthetic practitioner biostimulator versus HA. Filling without untethering will make it look worse. You may need a couple of sessions for the best results. Some scars I have done years ago with HA still look good without touch ups but some need top ups every 9 months or so, choose a medical professional who has experience and prescribing abilities, in case an artery is blocked during the procedure.Good luck with this,Dr Maeve K
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Answer: Scars Dear Magical,I’m sorry this happened, but it’s a likely side effect of the cortisone, no matter who performs it unfortunately. I would try simple things first. I’m not sure the saline will work that well on it’s own. It can be used initially to assist in untethering the scar from the base with the help of subcision (where a sharp instrument cuts the fibres that attaches the top of the skin to the base). Once the scar is mobile then one could fill with a dermal filler. The choice of this can be discussed with your medical aesthetic practitioner biostimulator versus HA. Filling without untethering will make it look worse. You may need a couple of sessions for the best results. Some scars I have done years ago with HA still look good without touch ups but some need top ups every 9 months or so, choose a medical professional who has experience and prescribing abilities, in case an artery is blocked during the procedure.Good luck with this,Dr Maeve K
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December 9, 2020
Answer: Treating facial depressions Even though fat grafting is an excellent procedure foralger hollows on the face, since in your case the depression is rather small I would decide to go with a filler such as Restylane or Restylane lyft as they it will provide you with a longer lasting effect. I hope this helps and good luck from New York City plastic surgery
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December 9, 2020
Answer: Treating facial depressions Even though fat grafting is an excellent procedure foralger hollows on the face, since in your case the depression is rather small I would decide to go with a filler such as Restylane or Restylane lyft as they it will provide you with a longer lasting effect. I hope this helps and good luck from New York City plastic surgery
Helpful 1 person found this helpful
