Is Steroid Injection Effective for Scars Over 10 Years Old?

Is it still effective to inject steroids into a scar that is over 10 years old?

Hello doctor, I have a scar on my face that was stitched up.
I received steroid injections twice in the past, which significantly reduced its appearance.
However, after more than ten years, I feel that the scar should be able to flatten further.
Is it still effective to receive steroid injections for a scar that is over ten years old? How long after the injection will it take for the scar to start flattening? Thank you.

yu, 30~39 year old female. Ask Date: 2020/02/05

Dr. Wu Yuxin reply Dermatology

Effective, but it is uncertain how long it takes for the scar to start flattening after the procedure.

Reply Date: 2020/02/05

More Info

Steroid injections can be an effective treatment for scars, including those that are over ten years old. However, the effectiveness of steroid injections largely depends on the type of scar, its characteristics, and the individual’s skin response to treatment.

Scars, particularly hypertrophic scars and keloids, can benefit from steroid injections. These injections work by reducing inflammation and collagen production in the scar tissue, which can help flatten and soften the scar over time. Even scars that are more than a decade old can respond to steroid treatment, although results may vary.
When considering steroid injections for older scars, it is essential to have realistic expectations. While many patients report improvement in the appearance of their scars, the degree of improvement can differ significantly from person to person. Factors such as the scar's size, depth, and location, as well as individual skin type and healing response, play a crucial role in determining the outcome.

Typically, after receiving a steroid injection, patients may start to notice changes in the scar's appearance within a few weeks. However, it can take several months to see the full effects of the treatment. In some cases, multiple injections may be necessary to achieve the desired results. The frequency and number of injections will depend on the scar's response to the treatment and the physician's recommendations.

It is also important to consider potential side effects of steroid injections. While generally safe, they can cause skin thinning, discoloration, or, in rare cases, the formation of new scars. Therefore, it is crucial to discuss these risks with your healthcare provider before proceeding with treatment.

In conclusion, steroid injections can still be effective for scars that are over ten years old, particularly if they are hypertrophic or keloid scars. If you are considering this treatment, it is advisable to consult with a dermatologist or a plastic surgeon who specializes in scar management. They can assess your specific situation, discuss the potential benefits and risks, and develop a tailored treatment plan that aligns with your goals for scar improvement.

Similar Q&A

Can Steroid Injections Treat Scarring on the Genitals?

Hello Doctor, I would like to ask if scars on the genital area can be treated with steroid injections. I had surgery last year, and even after a year, it still looks a bit swollen and feels somewhat hard. I find it a bit unsightly. Thank you for your help.

Dr. Lu Daokuan reply Plastic Surgery
If a scar is red, painful, and enlarging, it is meaningful to use corticosteroids. The need for treatment should be determined based on the condition of the scar.

Understanding Scar Treatment Options: Laser vs. Steroid Injections

Dr. Wu: Hello, I would like to ask about a raised scar measuring 1.5 cm by 1 cm on my chest that developed after a wound healed last month. I also have two similar-sized scars on my left breast due to injuries that occurred over a year ago. My questions are: 1. The scar on my che...

Dr. Wu Yuxin reply Dermatology
1. The use of corticosteroids as a treatment method is appropriate. 2. If the scar develops an ulcer and does not heal well, it may be a concern.

New Treatments for Keloids: Options Beyond Steroid Injections

Hello, Dr. Lu. I sustained six stitches on my chin and multiple abrasions due to a car accident. I have a keloid-prone condition and am very concerned about the red, swollen scars on my face. Besides steroid injections, are there any methods to help the wounds blend more closely ...

Dr. Lu Daokuan reply Plastic Surgery
After removing the stitches, it is important to care for the area with artificial skin for a full six months. If there is any oversight, a corticosteroid injection can be administered; proper care is the key focus.

Effective Treatments for Keloids: Long-Term Solutions and Risks of Steroid Injections

Hello, I have a keloid on my chest that measures approximately 10 cm in length, 3 cm in width, and 0.5 cm in thickness. It often feels itchy, and when it itches, the area of the keloid expands, becoming red and swollen. I have previously visited a dermatologist for steroid inject...

Dr. Zheng Lizhen reply Dermatology
The formation of keloids is related to individual constitution and various external factors. External factors such as infections, burn scars, and foreign bodies can easily lead to the development of hypertrophic scars. Due to the involvement of individual constitution, there is c...