Saline injections or fillers for facial fat atrophy following steroid injection? (Photo)

Question

Several years ago I had a steroid injection in my jaw/cheek which resulted in fat atrophy. For the most part is has resolved, but there is a large area that is slightly shallower than the rest of my cheek and looks different to the other side of my face. I have read that saline injections can help reverse this type of atrophy but cant find any doctor to do this. Are fillers my only option?

Jacob Tower, MD · Answer

Hello, hope you are well. Injecting saline under your skin to correct this type of issue would be a fool's errand. The water will just quickly dissipate and you will be back where you started. Most dermal fillers are also problematic in that they are temporary whereas you're seeking a durable solution. Something like Sculptra could make sense (it stimulates collagen production), but I would suggest fat grafting to the area to restore permanent volume. 
Best,Dr. Tower

Anna Chacon, MD, FAAD · Answer

While some studies suggest that saline injections may stimulate fat growth, this is not a widely accepted or practiced treatment for fat atrophy. It's possible that the difficulty in finding a provider for this service is due to the lack of robust evidence supporting its effectiveness and safety.Dermal fillers, on the other hand, are commonly used in treating facial fat atrophy. They're a well-established, safe, and effective treatment option. Fillers can provide immediate volume and contour to the affected areas and can be an excellent option to consider, especially when you desire a quick resolution to the asymmetry.Another option could be fat transfer or fat grafting, where fat is taken from another part of your body and injected into the affected area. This could provide a more permanent solution, but it is a more invasive procedure.However, the most appropriate treatment for you will depend on your circumstances, including the extent of the atrophy, your overall health, and your personal preferences. Therefore, it's important to discuss your situation with a qualified healthcare provider who can provide you with a personalized treatment plan.

Beauty Bar - Ooltewah · Answer

Hi! I would recommend dermal filler or a biostimulant product such as Radiesse or Sculptra. The dermal filler will help blend and fill the indention, however, the biostimulant can also fill while stimulating collagen and elastin production. Those are my recommendations. I hope this helps! Thank you!

Saline injections or fillers for facial fat atrophy following steroid injection? (Photo)

Answers (3)

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