Fat loss from steroid injection?

Question

Hello! I am receiving steroid injections for a possible granuloma following filler (ie, dexamethasone, then kenalog if that doesn't work). My surgeon says this may potentially lead to fat loss in the areas of injection. Reading online, it seems this happens in 5-30% of individuals, however spontaneous 'rebuilding' of fat occurs within a year. My surgeon knows nothing about this. Can anyone whether this is true or not? Thank you very much, ~Matt

Brian C. Reuben, MD · Answer

Thank you for your question.  Yes, absolutely.  Steroid injections can cause fat atrophy as well as formation of small blood vessels in the skin (telangiectasias) and thinning of the skin and hypopigmentation.  This typically happens with large doses or repeat injections.  A one time injection of a reasonable dose should rarely cause issues.

Jason Emer, MD · Answer

there are many alternative treatments for this, I do not do steroid injections typically for this type of issue.  find a cosmetic expert for treatment.  Best, Dr. Emer.

F. Victor Rueckl, MD (in memoriam) · Answer

You can get a small dent of fat loss after an injection of kenalog. Yes, the tissue does rebuild itself - I've never seen it not do this - but it does take time. The rebuilding will depend upon your age and skin recovery ability, but it will happen. There is not a good way to give you a timeframe. "This
answer has been solicited without seeing this patient and cannot be
held as true medical advice, but only opinion. Seek in-person treatment
with a trained medical professional for appropriate care."

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Fat loss from steroid injection?

Answers (3)

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