Any doctors here NY Metro area based that have use the saline technique to flush out cortisone from a cortisone injection? My skin has a major dent and I am on month 3. I have tried fillers and it just seems to go right in and not make a difference, making me think their is still steriod in my skin. Anyone have experience with injecting saline to help? NYC based...HELP !
Answer: Most dermatologists should be able to help with this issue. Steroid injections can cause this and this is something that luckily should reverse itself soon. Soon may be a month or a year, so you have to be a little patient unless you are wanting to do something immediately. I would say that fillers are a better idea, but it is really really important NOT to do a permanent filler like Artefill/Bellafill or even a longer term filler like Radiesse or Sculptra or when it does come back you will have a lump there.This is a very tricky thing to manage so make sure you go to a dermatologist who is expert in fillers and does their own injections and not to a practice where the nurse or extender does them. Good luck!
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Answer: Most dermatologists should be able to help with this issue. Steroid injections can cause this and this is something that luckily should reverse itself soon. Soon may be a month or a year, so you have to be a little patient unless you are wanting to do something immediately. I would say that fillers are a better idea, but it is really really important NOT to do a permanent filler like Artefill/Bellafill or even a longer term filler like Radiesse or Sculptra or when it does come back you will have a lump there.This is a very tricky thing to manage so make sure you go to a dermatologist who is expert in fillers and does their own injections and not to a practice where the nurse or extender does them. Good luck!
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August 22, 2014
Answer: Saline vs filler injection Sorry to hear about your atrophy after steroid injection. Good news is that this will reverse, however in the meantime you should undergo temporary Saline/fillers to provide normal contour. Recommend undergoing subcision and injection with Juvéderm Ultra Plus in this area.
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August 22, 2014
Answer: Saline vs filler injection Sorry to hear about your atrophy after steroid injection. Good news is that this will reverse, however in the meantime you should undergo temporary Saline/fillers to provide normal contour. Recommend undergoing subcision and injection with Juvéderm Ultra Plus in this area.
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August 17, 2014
Answer: Treatment for Skin Atrophy After Steroid Injections Saline and/or filler will not help this. This atrophy/scar is too large and the skin texture is irregular even if it was flat it still would be noticeable. A few other options include microneedling, subcision, or surgical removal/scar revision with subsequent laser or microneedling on top. No one treatment or one session will remove this. Even with the best of treatment, you will never have completely normal skin there again. I suggest you come see me an we do an inperson or skype consultation. I am leaning towards surgery with laser or microneedling for treatment for you. Unfortunately, there is no standard of care for treatment with this type of scar. I am sorry this happened to you. Best, Dr. Emer.
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August 17, 2014
Answer: Treatment for Skin Atrophy After Steroid Injections Saline and/or filler will not help this. This atrophy/scar is too large and the skin texture is irregular even if it was flat it still would be noticeable. A few other options include microneedling, subcision, or surgical removal/scar revision with subsequent laser or microneedling on top. No one treatment or one session will remove this. Even with the best of treatment, you will never have completely normal skin there again. I suggest you come see me an we do an inperson or skype consultation. I am leaning towards surgery with laser or microneedling for treatment for you. Unfortunately, there is no standard of care for treatment with this type of scar. I am sorry this happened to you. Best, Dr. Emer.
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August 17, 2014
Answer: Saline Injections Can Be Helpful For Steroid Injection Dents & Atrophy In most cases, a tincture of time (usually about six months) works well for steroid atrophy resulting from intralesional steroid injections. In cases that have not resolved completely, I have used saline injections for many years now in my Upper East Side Manhattan practice. It has been my experience that it typically takes more than one treatment session to treat the condition. If necessary, subcision treatments, about which you can find more detail in the archives of Realself.com, can be combined with the saline injections to "jump start" the laying down of new, native collagen and better ensure a more permanent fix.
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August 17, 2014
Answer: Saline Injections Can Be Helpful For Steroid Injection Dents & Atrophy In most cases, a tincture of time (usually about six months) works well for steroid atrophy resulting from intralesional steroid injections. In cases that have not resolved completely, I have used saline injections for many years now in my Upper East Side Manhattan practice. It has been my experience that it typically takes more than one treatment session to treat the condition. If necessary, subcision treatments, about which you can find more detail in the archives of Realself.com, can be combined with the saline injections to "jump start" the laying down of new, native collagen and better ensure a more permanent fix.
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Answer: Facial dent: saline vs filler This is a frustrating problem. There is no evidence that injecting saline will help and in fact if anything, it will just further traumatize the area. The damage has already been done from the steroid injection. Given that this often improves to some degree over time, I'd recommend filler which will both help the visible defect and create a bit of collagen stimulation for long term improvement. It's impossible to recommend which filler from the photo but sometimes Belotero can work well injected into the skin itself and sometimes you can layer fillers such as Radiesse (which is thicker and stimulates collagen) deep and Belotero into the skin. See an experienced injector. In my experience, surgery at this point may leave a prominent scar which may be hard to camoflouge.Best of luck,
Helpful 1 person found this helpful
Answer: Facial dent: saline vs filler This is a frustrating problem. There is no evidence that injecting saline will help and in fact if anything, it will just further traumatize the area. The damage has already been done from the steroid injection. Given that this often improves to some degree over time, I'd recommend filler which will both help the visible defect and create a bit of collagen stimulation for long term improvement. It's impossible to recommend which filler from the photo but sometimes Belotero can work well injected into the skin itself and sometimes you can layer fillers such as Radiesse (which is thicker and stimulates collagen) deep and Belotero into the skin. See an experienced injector. In my experience, surgery at this point may leave a prominent scar which may be hard to camoflouge.Best of luck,
Helpful 1 person found this helpful
