It is generally not recommended to combine kenalog with hyaluronidase to dissolve filler as the hyaluronidase is the only medicine needed to dissolve the filler. I would make a follow-up appointment with the provider who did this to seek an explanation for why they combined both medicines. Use of topical or intralesional steroids can cause steroid atrophy. If it is indeed steroid atrophy, you will just have to wait as it can improve slowly over time or never improve. If you would like to seek a second opinion, I would recommend going to a board-certified dermatologist or plastic surgeon. Best, Dr. Scott
Hyaluronidase dissolves filler. I don't understand combining it with Kenalog.... If that dent is from Kenalog (which is what I assume) then it will take a loooooong time to resolve but it will. But again, I don't know why your injector combined them together. It is not necessary. "This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."