Would Fraxel laser be helpful to get rid of atrophy on cheek after a cortisone injection? (photo)

Question

I recently got a cortisone injection on my cheek for an acne cyst. A few weeks later I noticed my cheek has a small indentation and some discoloration where the cortisone was injected. My derm recommended I use a topical retin A cream for 6 weeks and then possibly fraxel. I read some info on this particular problem but never heard of anyone using fraxel. I don't want to make the situation worse if it will heal naturally. Please give me feedback ! Thank you !

Hooman Khorasani, MD · Answer

Good question! Fraxel works for acne scarring but the depth the scar might be more effective to treat with non-surgical option (subcision), microneedling/PRP, or Deep Fx (fully ablative CO2 fractional laser).  Another option that some of the other posted below that we recommend and use in our practice is the semi-permanent filler (5 years), Bellafill.  The best answer to your question would be provide by seeing a board certified dermatologist or plastic surgeon that is well versed in these techniques.  The ability to assess the depth, movement of the scar, and appearance with animation is critical. All the best.

Steven F. Weiner, MD · Answer

It is asking too much for a laser to stimulate collagen enough to fill your scar. I would consider a filler to elevate the scar. My preference is Bellafill because of it longevity.

J. Timothy Heffernan, MD · Answer

Thank you for your question. Regarding that raised area post cortisone injections, I would highly recommend letting it heal and resolve naturally before trying Fraxel. I would give it at least 3-4 months and then discuss options with your dermatologist. Best of Luck, Dr. Heffernan

Davin Lim, MBBS, FACD - Account Suspended · Answer

Fraxel RePair and the 1550 Dual may stimulate collagen but not fat. In this context of atrophy my suggestion is to wait 3-5 months. Take standardised photos, then compare the results after waiting this time period. Your dermatologist may have other issues he/she would like to address with Fraxel, so unable to comment on this. Majority of cases of atrophy self correct within this time period. Dr Davin Lim. Brisbane Dermatologist. Australia.

Would Fraxel laser be helpful to get rid of atrophy on cheek after a cortisone injection? (photo)

Answers (4)

Answer: Wait 3 months, compare before and afters.

Answer: Wait 3 months, compare before and afters.

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Would Fraxel laser be helpful to get rid of atrophy on cheek after a cortisone injection? (photo)

Answers (4)

Answer: Wait 3 months, compare before and afters.

Answer: Wait 3 months, compare before and afters.

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Recommended reading

Everything you need to know about Fraxel Laser

Our mission is to create a world where every investment in modern beauty is Worth It.