My 2 year old son recently had to have a steroid injection. Several weeks later, we noticed a large indent at the injection site. Upon doing several Internet searches and seeing a specialist, we were told that it was due to the injection. Is this something that will go away?
Our son actually refers to it as "his hole". We do not want him to be self conscious about it. Is there any long term effects? We were told that it is permanent. Is there any treatment or procedure that would eliminate the indent? If so, what would be first steps in looking into. Thanks
Answer: PRP can be done in this area if dent is still present to promote collagen and reduce appearance. Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture. Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
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Answer: PRP can be done in this area if dent is still present to promote collagen and reduce appearance. Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture. Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
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September 3, 2009
Answer: Depression from corticosteroid injection I would simply observe the site for 6-8 weeks. Most cases of corticosteroid-associated atrophy will resolve spontaneously with time.
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September 3, 2009
Answer: Depression from corticosteroid injection I would simply observe the site for 6-8 weeks. Most cases of corticosteroid-associated atrophy will resolve spontaneously with time.
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September 3, 2009
Answer: Many Options Available As the other physicians have noted, it is likely that this will resolve over time. There are a couple of options though, some which can be undertaken even at this point. There are several case reports that injecting salt water under the skin on a daily basis for a couple of weeks can speed the recovery. Unfortunately, this may be too traumatic for a two year old to deal with. As the other physicians have noted as well, if this does not resolve within several months, fat grafting or excision is another option.
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September 3, 2009
Answer: Many Options Available As the other physicians have noted, it is likely that this will resolve over time. There are a couple of options though, some which can be undertaken even at this point. There are several case reports that injecting salt water under the skin on a daily basis for a couple of weeks can speed the recovery. Unfortunately, this may be too traumatic for a two year old to deal with. As the other physicians have noted as well, if this does not resolve within several months, fat grafting or excision is another option.
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November 25, 2013
Answer: Wait for one more year before corrective surgery on 2-year-old Steroids can induce fat atrophy when injected into the superficial tissues. However, the good news is his age. A 2-year-old should heal and build enough tissue to offset the deformity. I would wait for at least one year before I would attempt any corrective surgery. Fat grafting is usually the best treatment for this condition. Hope that helps!
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November 25, 2013
Answer: Wait for one more year before corrective surgery on 2-year-old Steroids can induce fat atrophy when injected into the superficial tissues. However, the good news is his age. A 2-year-old should heal and build enough tissue to offset the deformity. I would wait for at least one year before I would attempt any corrective surgery. Fat grafting is usually the best treatment for this condition. Hope that helps!
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September 2, 2009
Answer: Steroid Lipoatrophy What happened here is that the steroid injection was not given deep enough into the muscle and instead entered the fat. Steroids can cause lipoatrophy and this accounts for the dent...the fat cells have been destroyed.
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September 2, 2009
Answer: Steroid Lipoatrophy What happened here is that the steroid injection was not given deep enough into the muscle and instead entered the fat. Steroids can cause lipoatrophy and this accounts for the dent...the fat cells have been destroyed.
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