Steroid Side Effects: Recovery and Collagen's Role - Dermatology

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Steroid side effects


Hello, doctor.
About a week ago, I received scar treatment injections at a dermatology clinic, specifically at the lower left corner of my mouth.
The doctor tried to minimize the amount injected, but I still noticed some skin indentation today.
After researching, I found that some people say it will naturally improve within three months, while others suggest that increasing collagen intake may help with recovery.
I would like to ask if, in clinical practice, most people really do recover? Does collagen truly aid in the healing process? Should I return for a follow-up with the original treating physician? Thank you!

CC, 20~29 year old female. Ask Date: 2018/07/23

Dr. Li Yufen reply Dermatology


Hello: Regarding the side effects of steroid injections, you can refer to Dr.
Wang Hsiu-Han's article at http://www.skin168.net/2013/09/side-effect-steroid-keloid-hypertrophic.html?m=1.
It is recommended that you return for a follow-up appointment to have the physician who initially treated you evaluate the condition of the skin atrophy and indentation.
Thank you!

Reply Date: 2018/07/23

More Info


Understanding the side effects of steroids, particularly in the context of skin treatments, is crucial for managing expectations and recovery. When you undergo procedures like scar injections, the use of steroids can lead to various outcomes, including skin atrophy or indentation, which seems to be your concern.

Firstly, it's important to recognize that steroids, while effective in reducing inflammation and promoting healing, can also have side effects, especially when used in high doses or over prolonged periods. In the case of your scar injection, the steroid may have been intended to reduce inflammation and promote healing, but it can also lead to thinning of the skin or localized atrophy, which is what you are experiencing.

Regarding your question about recovery, many patients do experience improvement over time. The skin has a remarkable ability to heal, and in many cases, indentations or atrophy can improve within a few months. The timeframe for recovery can vary significantly from person to person, depending on factors such as the individual's skin type, the extent of the steroid used, and overall health. While some people may see improvement within three months, others may take longer.
As for collagen's role in recovery, collagen is a vital protein that provides structure and elasticity to the skin. Supplementing with collagen may help support skin health, but the evidence on its effectiveness in reversing steroid-induced atrophy is limited. Some studies suggest that collagen supplementation can improve skin hydration and elasticity, which may indirectly aid in recovery. However, it is essential to approach this with realistic expectations; while collagen can support overall skin health, it may not directly resolve the specific issues caused by steroid injections.

Returning to your treatment, it is advisable to follow up with the dermatologist who performed the procedure. They can assess the extent of the skin's recovery and determine if any additional treatments are necessary. They may suggest topical treatments, further injections, or other modalities to help improve the appearance of the affected area.
In summary, while many individuals do recover from steroid-induced skin changes, the process can take time, and the use of collagen supplements may support overall skin health. However, it is crucial to consult with your dermatologist for personalized advice and to monitor your recovery. They can provide the best guidance based on your specific situation and help you navigate any concerns you may have about your skin's appearance and health.

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