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sickofthis

You Want To See Cortisone / Kenalog / Steriod Atrophy? Divot. Steroid Injection. Dent .

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@Chloemarie- keep the faith!! I've had multiple dents from cortisone shots and they have always returned to normal between 2-3 months. It sounds like forever but it really goes by quickly. I also had the dermatologist do saline injections to help them along. They usually would look the same for the first couple weeks and I would get discouraged, then slowly look better, then one day disappear all together and I couldn't even see where it was before. 

Ask your derm about saline injections and be patient. Don't rush to do filler, once your skin bounces back naturally it could end up looking lumpy.

Edited by Lauren0791

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Had a really bad breakout a couple weeks ago and saw a dermatologist who gave meabout 7/8 cortisone injections which have now all become massive mishapen craters on my already scarred and broken out face. I know they should fill in in 4-6 months but damn. This is very traumatic any words of wisdom or encouragement or experiance? Help. 

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Can you update whether it filled in? I’m having this same problem!

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Reviving this board (and others) because I'm really going through it!

After years of getting cortisone shots and probably close to 100 shots, I got the dreaded atrophy. 

It happened when I went to someone other than my normal derm, for a HUGE cyst but he also hit another tiny pimple I had -- and I believed he used way too much for that tiny pimple.

Update:

I noticed the dent 10 days after the initial cortisone shot, and it continued to change and get slightly worse over the following week or two. I went to my regular derm who agreed to give me saline shots. She wouldn't give me filler because she told me it was not approved for this condition and I'd be doing it at my own risk, so I opted not to do it even though I was really desperate. 

I did three weekly rounds of saline and took 1000mg of vitamin C daily.

I didn't have any side effects form the saline, no bruising, only swelling that went down in a few days. 

After the second/third saline shot, the dent became qualitatively better. The area was kind of uneven and more sunken than normal, but there was no longer a dent. It is completely something I can live with -- NOTHING like the terrible sinkhole that was initially there.

Now I'll be good to wait for more healing over the next year. If this happens to you, try saline, it really worked for me.

I'm posting this in case anyone has that initial panic that I went through. I have pictures of my atrophy every step of the way which I'm happy to share if it would help anyone feel better.

Edited by dearworld_

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I soooo wish you had updated :(

Yours looks to be a similar severity and size to mine, so it would be amazing to know how much improvement you saw and what you tried.

I just posted pics of mine in another forum, anyone interested can check them out.

I am going to the derm on July 6 to discuss options. I'm hoping for a saline injection and then if I see no improvement, (dissolvable) filler. Either way, I will try a full round of saline shots (5-9 times from what I've read here)

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This heals naturally, but it takes a very long time (months). You can do two things. One is saline injections through your derm or get some filler which lasts a big longer but costs more.

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1 hour ago, beautifulambition said:

This heals naturally, but it takes a very long time (months). You can do two things. One is saline injections through your derm or get some filler which lasts a big longer but costs more.


Thanks for your response.

Yep, I know that's what I'm looking at. I'm going in a few days to show my derm, and she can hopefully help me with saline and/or filler.

I am definitely worried about doing filler (I've never done it before) and the possible outcomes. I've read this thread extensively, and I know that a few posters still found the area looked uneven even with filler!!

But I'm desperate at this point, for less depth. Even if the skin doesn't exactly right until 6 months or a year on (if ever!!), if I could just get the mostly dent filled I think I could live with that! I am no stranger to discoloration and small dents, I have them all over my face and I've accepted them. But a huge freaking dent right in plain sight just takes it over the edge for me.

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Hi, 

On 3/11/2017 at 6:30 PM, Cavedweller said:

I'm in the same boat as you except mine is red, and unfortunately on my cheek under my eye where everyone sees it when they look at me. I wish I had some advice or words of encouragement, but maybe you can take comfort in be fact that other people feel the same way. 

Just wanted to follow up on this thread. Did your issues resolve? I just got a dent from cortisone atrophy right in the middle of my cheek under eye so I am hoping you can provide a positive update. Am so distressed :(

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@sunnyside31 These heal by themselves, taking a year sometimes. Goto your dermatologist and have them do saline injections (cheap just water) or prp injections (overkill for one spot).  They can subcise using a tiny needle but cannot use filler or you could go blind as this is a vascular area (artery). 

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Man, I dunno why you people drag up these old posts from their graves, especially when the OP who sounded so dire never bothered to check again (she has 1 post to her credit). 

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Hi! 

On 11/25/2017 at 7:46 PM, ice1234 said:

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?! 

Just wanted to follow up on this thread! Hoping your issue resolved. I am now experiencing the same issue on 2 different spots on my face. Any insight/advice/light at the end of the tunnel you could provide would be sooo much appreciated! 
Thank you for your time! 

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On 7/7/2018 at 10:33 PM, beautifulambition said:
@sunnyside31 These heal by themselves, taking a year sometimes. Goto your dermatologist and have them do saline injections (cheap just water) or prp injections (overkill for one spot).  They can subcise using a tiny needle but cannot use filler or you could go blind as this is a vascular area (artery). 
Thank you very much for your response! Very much appreciated. 

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On 7/6/2018 at 11:35 PM, sunnyside31 said:

Hi, 

Just wanted to follow up on this thread. Did your issues resolve? I just got a dent from cortisone atrophy right in the middle of my cheek under eye so I am hoping you can provide a positive update. Am so distressed :(

I posted a few weeks ago on a different thread, I was really distressed as well. I went for three weekly saline shots and that got me to a place where I wasn't so depressed anymore. I still have some unevenness in the area but it no longer looks like a sinkhole on my face, so I can live with it and hope for more evening out over the months ahead. And even if it hardly improved from here, I'd still be able to live with it. I don't think about it anymore. Based on others' experiences here, I consider myself really lucky that this resolved quickly and didn't drag on and on.

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Hopefully they have improved by now!! I have had several atrophy/ indent....I have one right now. It is super frustrating:( My worst healed in 3 months (to where it was unnoticeable, prob not 100%), the smaller ones were faster (1 month-ish). I supplement with collagen powder, vitamin C, and I've also gotten acupuncture around them. Hopefully yours are better!! It is such a slap in the face post injection!!!

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2C50C087-6F81-4693-A948-31D7D7840AE3.thumb.jpeg.708e0ac0a30c722bd40aee150b05089c.jpegI had several kenalog injections 5mg into pimples that most likely should not have been injected, but my derm never told me of the side effects! Even worse the nurse was doing them. On the last injection two days later not where I was injected, but the skin right above it indented in. I am about to hit the two month mark and have no progress yet. Also, I have had three saline injections so far and still no improvement. I’m hoping at 4-6 months it will be totally filled in since there was not even a cyst there just being totally related to the steroid injection. Asking for success stories or anything that has been found to help. When have you seen the most healing occur? Anything else to try? Please tell me my skin will go back to normal!

Edited by Hrr

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Hey everyone, 
A month ago I had a pimple injected on my forehead which I've done several times without any issues. This time however, I noticed a dent formed one week later. Thus, the divot has been there for three weeks now. It is pretty small so I know I shouldn't be too upset about it but regardless it is anoying (the pimple wasn't even that bad to begin with).  Anyway I have heard that the forehead is prone to divoting when it comes to these shots.  Has anyone else experienced this? Does your skin fill back up eventually or is this permanent ? :( .     

PS  should mention that I am 25 and am not usually prone to acne scarring so I am hoping this means I have good collagen and I will be fine lol but I'm still concerned ! 

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I’ve read here that they can take a very long time to fill in and they will fill in on their own. 

However, I had a few injections in cysts on my cheeks when I was 25 and sadly, they never filled in. I had so much cystic acne I didn’t even realize it was leaving atrophy until it was too late. Be glad it’s only one small spot.

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Find a derm or Dr to do saline injections. This can help if it will heal naturally over many months. Otherwise you may need some subcision and filler. How you heal is up to your body, ... very slow process. You can try dermastamping the area at home.

BA

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 A lot of times the dent fills up by itself as the kenalog crystals are dissolved by the body.  But sometimes they can be permanent.    I know personally I haven't had any that were truly permanent (perhaps lasting a long time though).  

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It's approximately 2 years of atrophy on both my butt cheeks. Really depressing. The dents are a hundred times more shallow than it was in the 1st month of atrophy. Trauma was caused by a quack nurse who erroneously injected me with steroids instead of antibiotics. This never gets better. 

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On 22/07/2013 at 8:37 AM, Somerk said:

You have nothing and I mean nothing to worry about. 


Does this mean I have hope of recovery? I've been atrophied going 2 years now. Your reply is appreciated. 

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Hi! My teenage daughter is developing a cyst on her face.  As I have severe acne scars, I want to do everything I can to treat this early and limit scaring for her.  We are out of the country and do not know anyone local so I will need to find a sort of walk-in clinic.  What kind of treatment should I request/hope for? Thank you for your help!

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The best thing to do would be to get a cortisone injection to reduce the inflammation as quickly as possible. Prolonged inflammation is what leads to most atrophic acne scars so reducing it quickly is the best thing you cna do at this point. 

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Cortisone shots have been known to lead to atrophy. I regret cortisone shots. However, I've learned here that my cysts probably would have scarred no matter what. If she does get one, please ask the doctor about the risk of atrophy and if they can only inject a very small amount. Atrophy comes from over-injection.
How long until she can get to her regular dermatologist? 

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