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Steroids can help with scarring. It can also make it worse, cause discoloration. You need an examination and an understanding of what is realistic and the risks.
It should not return. Steroids work by inducing atrophy. This is typically permanent. Also find comfort in knowing that the injections could be repeated as needed.
Usually if the kenalog injection reduces the ridge it is fairly a permanent improvement.
Usually, if the steroid alone handles the ridging, it does not come back. This is a general rule but does reflect my massive experience treating these types of complications from other clinics
More than likely the ridging condition will recur in 6-12 months if you, indeed, get an improvement.
The best way to manage this is to get hair transplants by a doctor who is known for predictable results. This will hide the skin deformies best.
You reported that your skin is not smooth where you had your grafts placed. There are many reasons for this which are technical, but these may or may not apply to your surgery. Pitting or cobblestonning is the result of grafts that are not placed at skin level so if they are placed too deep,...
We have done hundreds of such patients over the past 24 years and the sideburns look great. The key to good sideburns is the use of one hair grafts on the outer border and possibly throughout the sideburn area