What Will Reverse, Slow Down or Stop a Kenalog 10 Injection I Had into my Face?

I had buccal fat pad removal done 6 months ago. One side of my face was still puffy, my PS recommended a kenalog 10 injection for that side. It clearly did not remove the puffy tissue, It made it worse by removing fat above the area he injected. I have dark discolored pigement in the skin. Looks like a dime size brown age spot plus a dent. Its been 3 weeks. Can a injection of water delute it any or can vitamins help? I read the kenalog decreases white blood cells, will folic acid help restore it?

Doctor Answers 1

Steroid (Kenalog) soft tissue atrophy of the face after buccal fat removal

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Soft tissue (fat) atrophy can be complication after steroid injection especially if it was injected in too high a concentration or too close to the skin. It can happen anywhere on the body-I have seen it in the shoulder, buttocks, face, etc.. Fortunately, most of this resolves with time, however, this may take up to a year to fully go away. I have tried injecting saline (on the advice of some colleagues) into the depressed area but had met with little success. What I have personally found far more beneficial in reversing the atrophy and normalizing the overlying skin discoloration, is to inject a hyaluronic acid filler(Restylane®, Juvederm®, etc.) into the depression. Not only does it provide immediate correction of the problem (and of course, peace of mind for the patient), but it also seems to permanently dispel the atrophy (in other words it never returns in my experience).

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