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sickofthis

You Want To See Cortisone Dent

This will probably fill in! and if it does not (which is the worst case scenario) you can as Sirius lee get fillers :) . But don't loose your hope, it will fill in.
 

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@shadyleeHi Shadylee - sorry using you as a sounding board. It's been over a week since I posted on here and have been better at just trying to forget this scar/ dent is there but today my mum asked me if had hurt my cheek. I was so embarrassed I just said no. She said it looked dark in that area. My mum had brought it up about 2 months ago too, but it was really bad then. 

Anyway, I just got upset and  thinking that everyone can see this scar, and whether it is going to improve anymore. I am very sceptical. I have booked an appointment with dermatologist in a couple of weeks time, for him to see the scar. 

My scar looks like a shallow, dark but wide dent/slope.  When I feel my skin in that area there is a definite slope and indent. There also seems to be scars inside the area - 1 scar from the needle and another scar that I had not realised I had in that area (can't remember having it!). In your experience have you had these and have they always filled in?

Have you had dents that never filled in for you? Or only reached a certain point and did not go any further? Thank you! 

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Hi Ice..Don't be sorry..I know exactly how you feel.  It's just so hard dealing with this crap.  Even more frustrating when a derm caused it.

Whenever I did get atrophy I would always get the greyish hue to it.  I think I once read that that's the cortisone staining the skin, but I'm not completely sure.  

Out of the all the shots I go thru the years, I only have 1 spot on the cheek that I can feel a slight indent.  I believe it was the derms fault.  He had drained the cyst first and then he gave me a shot.  I never had a derm do that before.  It's always been one or the other.  If I had known what I know now I wld never let him shot it.  It's like you got all the crap out, why shoot it?  Of course he told the dent happened bc of the cyst and not the shot.  I think that's a load of crap bc it never happened before or since, and I've had huge cysts.  The first cpl of months I was hysterical..especially with the gray hue..god I hate the gray hue!  But in the end it filled almost all the way and the grayness went away.  So even though I know its there I don't think anybody else sees it. 

I still think yours will fill in, I really do.  I think it's good you're seeing a derm bc hopefully he will put your mind at rest..and perhaps give you a plan of action that will make you feel better.  If you go on Real Self, you can see some pics where ppl have crazy indents and they filled in over time.

Don't ever hesitate to ask me questions, I don't mind being your sounding board :)...I truly know exactly what you're going through!

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@shadyladyThanks again. I just freaked out when my mum commented on it again after 4.5 months in (she commented first time 2.5 months in). I just can't believe the fact that this much time has gone by and I can still feel and see the indent fully. 

Yes I have been on realself and read that feed you told me about and that was reassuring. However some doctors on there have said it could be permanent, or advise on other proceduresSome are reassuring and others really are not. I think you understand what I mean. 

I feel eel like I have a constant stress headache with this huge indent in cheek!

i am seeing derm in 2 weeks time (it is the same derm that did the shot). I just don't want fillers but I bet that is what is offered. The grey hue, along with the indent is the word thing about this I agree. 

Send your energy my way for this for this to heal please :) Thank you so much for listening to my woes and your reassurance it is very helpful. 

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@shadyleeYou must be totally sick of me. I just feel extremely stressed as I have not seen any improvement over the last 3 weeks or so. If anything the discolouration is more pronounced but the atrophy/dents just look the same.

i am worried my cyst also tethered my skin (even though so tiny, and had I not had the cortisone shot it probably would have come out anyway and left only a tiny pinpoint dent, not this monster) and that I am left with this scar for life.

Surely I would still be seeing slight improvements if it was going to improve anymore? Did any of your cysts ever come out from cortisone shots and if so do you know if you had any tethering? Or did they just go away? 

Do you recommend the saline shots? I think you said you never had these and your atrophy just healed naturally? It sounds as if yours never lasted this long though?

I really do wish I never had this done. 

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Ice, I'm not sick of you at all.  I completely understand what you're going through.  Its so emotionally draining and upsetting...

I'm not sure by what you mean by "come out" from the cortisone shots.  95% of my cysts wld just flatten.  When I got atrophy they wld just sink in..i wld describe it as if someone pushed an eraser head into your skin, and the dent just stayed..if that makes any sense lol.

Most of mine wld fill in after 4 months.  The only one that took forever was the one on my back..that one was freaky..you cld feel my bone like there was nothing covering it.  That took like a year..I thought no way wld it ever fill in but it did.  If it had been on my face I wld've been in a psych ward bc it was huge.

I never did saline shots..so many mixed reviews on them.  I saw a post where someone said they wld bruise and the bruise lasted awhile..so that always scared me bc I'm terrible abt having marks on my face..i just don't handle them well at all.

I'm not sure if saline wld be your answer now bc the cortisone shld be out of your system now.  I believe the saline shots are used for trying to dilute the cortisone..to flush it out.  I think that's what I read, not 100% positive tho.

I think you're in your 5th month now?  You have a derm appointment soon right?  Ask them what they think..and perhaps try filler..

Ice you are not a bother at all.  You can ask me all the questions you want..or just vent..i truly don't mind...Please keep me updated!
 

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Hi thanks Shadylee, I am sick of myself so you must be sick of me! But I really appreciate it.

Basically it started with a pimple/spot that was noticed by my dermatologist(I was not so bothered). Two months later it was still there but the cyst/spot had come more to a head. It was injected and instead of what happened with you, it flattening and going away my cyst popped out. The cyst had come to the surface so I was able to give a gentle squeeze and this tiny, and I mean tiny cyst came out. As far as I am aware nothing looked suspicious in terms of my skin then. No dents etc. I have done this on untreated skin I.e. where I had no cortisone and there may be a pin prick dent but no atrophy, discolouration or weird indent.   This is why I am worried, as the cyst came out, rather than dissolving away and that my dent may be permanent. 

It will be 5 months at the end of November so I will be seeing derm just as soon as I am in my 5th month.  I really do not want filler, I feel that anytime I try and better my face it gets worse. Has happened about 3 times over the last couple of years and the ferns I have seen know I may petrified of down time etc.

When yiu say your atrophy would go at 4 months is that including the discolouration? What are your thoughts on the reasons why my dent may be permanent?  The one on your back sounds dreadful but glad it eventually resolved. 
Thanks again. 


 

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Hi Ice...

Ahh ok, I get you now.  A few times I've had a shot where instead of flattening it would come to a head.  The head would be so big I would just squeeze and all the pus would come out.  Mine were always "liquid" and not a hard substance.  The first time that happened I was nervous bc I could tell that the cortisone was coming out too and I was nervous it wouldn't go flat but it did.  I did not get atrophy from those.

My discoloration wld always last longer than the atrophy.  So my spots would fill in, but wld still have the gray hue for a few weeks after that.

The only theory I could come up with why you got atrophy is maybe by the cyst popping out (it sounds like yours was solid substance) the cortisone remained in the skin.  Since the cyst was gone, it started to dissolve the healthy skin.  That is just a theory though.  Even if that did happen it should fill in.  It's like the same thing as if the Dr. used too much or too strong of a strength.

I understand how you feel about letting somebody do something to your skin.  It seems whenever I do something to improve my skin, it always goes wrong.  There's a few things I wld love to try but just so scared of something going wrong bc it usually does for me.

The good thing abt filler is tho..it's not permanent.  Also if you hate the way it looks you can always get it dissolved.  

When you go to the derm ask him all your options.  You can investigate them and maybe find one your comfortable with.

Sending you healing energy!!

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On 11/7/2016 at 7:44 PM, mbdr2 said:
Hi! Did u get any better?

i have some atrophy myself. 

Its been 4 months after the cortisone shot. And it its looks bad. 


No, it never healed itself.

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Yes my cyst popping was indeed hard substance (I know gross!) but it was really tiny.  Apart from it being on my face for 2 months it really was not a large spot at all, it was just one of those that was not coming out or going away, though I think at the stage it was injected the cyst was not so deep in my skin - so it was definitely going to come out. 

Ok your theory is interesting. I was given no warning that cortisone could seep out or that it would last for 2 weeks in my system, I only found that out later when I saw the dermatologist again and he told me then, after my atrophy had already happened.  Had no idea that cortisone could damage healthy tissue too. So I inadvertently without knowing, may have made the area worse by the gentle squeeze. But i only noticed properly any atrophy approx over one month later.  

It does sound reassuring yours returned to normal but though mine has improved I am not sure it will improve any more. I know should give it up until 6 months (but I am going away to this wedding at the end of Dec!!!) . 

I am see the dent/scar left by the cyst but it is definitely still sitting in a shallower larger dent/ atrophy - and thus is what is so upsetting as it looks like my left cheek has collapsed.

Though I don't want any filer in my face I am not sure I can put up with this much longer.  Do you know what the side effects go fillers are?  

 

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i would wait this out for a few more months before you get filler but if you get something like restylane you really wont have to worry about side effects. it is made of hyaluronic acid which is a natural substance so if you do go that route you will be fine. its easy takes no time at all and will give you pretty much instant results. it is not cheap though so if you do plan to do it down the road get a consult first so you know how much it will cost. 

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Has it gotten better? I have one too:( It was injected really prematurely in to what I thought was going to become a cyst, but I think was just a little bit of inflammation....your photo doesn't look bad at all. I have had atrophy heal in the past, but the one that is currently on my forehead is the worst I've had....Derm told me I had to wait for a year before they would do any fillers.

I hope you are well and healed:)

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Hi Ice,
I asked my friend Tracy to comment bc I have no idea abt fillers.  Tracy is the best and has helped me through so many skin issues.  I'm also sure she won't mind if you have more questions.  She has vast knowledge on everything skin.  I hound her all the time lol.

Hope you're doing ok!

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@tracy521 Thank you for the advice. In fact I was just looking at my dent under angled lighting (why do I do it to myself?!) and it's probably worse then just the noticeable dent,as I can see the difference in fat loss on that side as opposed to the other side especially when I smile. I have pretty chubby cheeks and a lot of fat around the apple of my cheeks and on my unaffected cheek it is really chubby and springy, but on my other side there is a definite loss of fat.  There is also a larger area of fat loss then I originally thought. Also I can feel the difference. 

I would try and ride this out for another couple of months or so, but have a wedding which is abroad at the end of Christmas and I just wanted to look my best and instead I look my worst. But at the same time I don't want anymore needles anywhere near my face.

Is restylane better than Juverderm? Also do you know if it helps or hinders healing? Thank you.

@shadylee I don't know how to thank you! I just saw Tracy's email and responded to her. 

I freaked out out last night - could not sleep, this thing was really worrying me as it just does not appear to be improving at all. 

Today the angled lighting shows shows a definite loss of fat I had not realised was there. 

So feeling quite rubbish and really I can't believe my luck - I know I know I should be grateful for all the things I have in my life etc which of course I am. I sound like such an ungrateful so and so but I get so freaked out with things on face. 

Hope you are doing well?! 

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Hi Ice,
I completely understand what you're going through.  I can look in a mirror and cry my eyes out for hours, I can't stand having anything on my face.  Its so hard when you don't see improvement.  You don't sound ungrateful at all, its just so extremely hard emotionally.

I'm so happy Tracy messaged you.  She knows so much about the skin and procedures.  She has helped me through so many bad times with my skin, she's the best!  I'm sure she's going to help you find an answer!

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19 hours ago, ice1234 said:
@tracy521 Thank you for the advice. In fact I was just looking at my dent under angled lighting (why do I do it to myself?!) and it's probably worse then just the noticeable dent,as I can see the difference in fat loss on that side as opposed to the other side especially when I smile. I have pretty chubby cheeks and a lot of fat around the apple of my cheeks and on my unaffected cheek it is really chubby and springy, but on my other side there is a definite loss of fat.  There is also a larger area of fat loss then I originally thought. Also I can feel the difference. 

I would try and ride this out for another couple of months or so, but have a wedding which is abroad at the end of Christmas and I just wanted to look my best and instead I look my worst. But at the same time I don't want anymore needles anywhere near my face.

Is restylane better than Juverderm? Also do you know if it helps or hinders healing? Thank you.
do you have any pics before the injection to compare to? i only say that because i cant imagine one shot could have caused all that fat loss as well. can you post a pic here so i can see what you mean? or you can message me. i think at this point your best bet is not to look at it all the time because its only going to cause you to be more upset and that's no good.  if it is bothering you that much though go see a cosmetic derm or go to a plastic surgeon and see what they think. i think juvederm would probably work too its also made from hyaluronic acid too. it probably all depends on the size of the dent. an experienced derm or doctor will know exactly what to do. i dont think either of those fillers would hinder healing since they do help to stimulate collagen as well.
i wish you the best of luck.

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@tracy521Thanks Tracy.  Happy to message you pictures rather than put on here. Do you have an email? 

I just wish I had not got this done and been so complacent about it. It wasn't even bothering me that much, and now I have a massive crater. It isn't as bad as some pictures I have seen on realself or elsewhere but it feels really dented and perhaps tethered down from where the cyst popped out.  So instead of where I have read most people's spots/cysts went down or flattened out, mine was near the surface anyway (but over 2 months was not coming out) and then a gentle squeeze a few days later made the cyst come out. It was a very tiny little hard substance. Minuscule as I remember thinking, this tiny  thing was trapped unfer my skin for over 2 months. 

I did not notice anything until 2 weeks later and even then it did not look like anything to worry about. Over a month later is when I believe I noticed the left side of my face with a dent and sunken cheek. 

Nearly 5 months later, the atrophy/sunkenness has definitely improved but I have a very strong dent, like a dimple in that area.

With any pictures I send, you will think it's not as bad as some you have seen but for me I just feel devastated and like it's going to be something permanent as the dent may be tethered down.  I have many acne scars but there are small and flat. But this dent is something I have not had or seen before. It is also by feel that you get a good sense of the dips and loss of fat. I can put the pad of my finger on the dent and it feels like the core of the dent i.e. Where the cyst came out is really deep and even when I stretch it out I can feel it. The atrophy definitely goes above the dent and more higher up the cheek but this again i notice more by touch as there is a definite shallowness whereas my other cheek is plump with no dips or shallow areas - from what  I  can tell anyway. Oh I also have discolouration and the skin is very thin in that area. 

i am loathe to get fillers and this will be a last resort.  I just want this to go away but I havs a sense with the scar formation that it might be permanent. Any ideas? 

Pleas do let me know how I let you see the picture. Thank you once again.

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@tracy521 Hi Tracy sorry to hound you. I am just sick with worry about this. I am seeing my dermatologist next Friday and I know he will recommend filler but am loathe to at the moment but at the same time I hate this scar. 

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Sorry also did want to ask which fillers are the best in anyone's opinion? Restylne or Juverderm? I know that one of them can give a blue tinge effect?! 

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You can message me on here or at [email protected] - see what the derm says and go from there. I’ve never heard of filler leaving a blue tinge. I’ve had restylane it was easy and not really painful at all. 

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How deep do dermatologists put saline under the skin? Right under the skin or do they go deep? A few have said that the saline solution isnt the thing that really helps fill in the dents but the needle pricks, which stimulate collagen growth. Has anyone tried dermarolling? Instead of going to my dermatologist I may just do that at home instead. I've done it before for surgery scars and stretch marks and it has worked wonders. I'm not sure how saline solutions are administered but derm rollers have a bunch of needles per square inch so it may work even better. 

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I am upset.  I had a huge cyst in middle of forehead.  It was an eyesore.  I had a cortisone injection.  Now I have a large circular indentation.  I think it is worse.  It is the first thing you see.  I try to cover it.  Takes a lot of time and it really doesn't cover.  Needless to say, I am depressed.  It is a big dent., round in shape.  I heard it will take months.  Dermatologist said I may need a filler.  Has anyone had this happen?  Are fillers permanent?  Or will need to keep getting them?

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@Chloemarie No HA fillers are not permanent. That is better. You don't want a permanent filler in your face when you first get correction for many reasons. HA acts as a spacer. It takes many many months for the area to fill in and your body replaces the filler with some collagen. Some top up again in a year and some do not. Depends how you heal (Everyone is diffrent). Subcision with filler is long lasting. Otherwise you can just wait it out for up to a year while it heals. That's the beauty of a HA filler it's natural found  in the body, body repairs itself, and if they screw up injecting they can dissolve it. Top ups are sometimes necessary to get things right (subcision is always necessary). As we age we loose fat naturally so this is mainly why people top up. 

Another option is saline injections by the dr at the time of the subcision followed by Chinese cupping (Amazon) for several weeks after to prevent re-tethering. See subcision section under scar treatments sub, first post.

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Thank you for responding. It’s been bothering me. I hope it goes down in time.  It’s large and right smack center of my forehead. I am older so it may take longer. Had no idea it would result in something this awful. I’ll wsit a little and then get a filler and hope it works out. Hope this is not something I have to fill forever.  I am self-conscious. 

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Hi. I notice this topic is three years ago. It came up in a search. I have a BIG atrophy. But the worst thing is it is right in the center of my forehead. It was a cyst that was injected. I’m wondering how long it took yours to go away. 

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