Steroid Side Effects in Cosmetic Procedures

Steroid side effects

Hello, I have received steroid injections for keloids at the dermatology department about four times, with intervals of approximately one month.
Recently, I noticed a white ring around the injection sites, and the skin appears to be noticeably thinner.
Is there a way to restore it, or would I need to receive hyaluronic acid injections for recovery? The injection sites are on my lower leg near the knee and on my elbow.

Niming, 20~29 year old female. Ask Date: 2022/08/19

Dr. Lü Mingchuan reply Plastic Surgery

Please visit the outpatient clinic for consultation.

Reply Date: 2022/08/19

More Info

When it comes to understanding the side effects of steroid injections, particularly in cosmetic procedures like treating keloids, it's essential to recognize both the benefits and potential risks associated with their use. Steroid injections, such as triamcinolone acetonide, are commonly used to reduce inflammation and flatten raised scars, including keloids. However, repeated use can lead to various side effects, including skin thinning (atrophy), changes in pigmentation, and even the formation of new scars.

In your case, the appearance of a white ring around the injection site and the noticeable thinning of the skin are indeed common side effects of steroid injections. This occurs because steroids can inhibit collagen synthesis and affect the skin's structural integrity, leading to atrophy. The white discoloration you observe may be due to a loss of melanin in the affected area, which can happen when the skin becomes thinner and more fragile.

As for recovery, the good news is that in many cases, the skin can gradually improve after discontinuing steroid injections. However, the extent of recovery can vary depending on several factors, including the duration and frequency of steroid use, the individual's skin type, and overall health. While some patients may experience a return to normal skin texture and color over time, others may find that the changes are more permanent.

Regarding your question about using hyaluronic acid (HA) fillers to restore volume and improve the appearance of the affected areas, this can be a viable option. HA fillers can provide immediate volume and hydration, which may help to counteract the effects of skin thinning. However, it's crucial to consult with a qualified dermatologist or plastic surgeon before proceeding with any filler treatments. They can assess your specific situation, discuss potential risks, and determine the best course of action tailored to your needs.

In addition to fillers, there are other treatments that may help improve the appearance of the skin post-steroid injections. These include:
1. Topical Treatments: Using moisturizers and topical agents that promote skin healing and hydration can be beneficial. Ingredients like peptides, growth factors, and antioxidants may help improve skin texture and promote regeneration.

2. Microneedling: This procedure involves using fine needles to create micro-injuries in the skin, which can stimulate collagen production and improve skin texture over time.

3. Laser Treatments: Certain laser therapies can help with skin discoloration and texture issues. They work by promoting collagen remodeling and can be effective in treating areas affected by steroid-induced atrophy.

4. Time: Sometimes, simply allowing time for the skin to heal naturally can yield positive results. The skin has a remarkable ability to regenerate, and with proper care, it may improve on its own.

In conclusion, while the side effects of steroid injections can be concerning, there are various options available for recovery and improvement. It's essential to have an open dialogue with your healthcare provider about your concerns and treatment options. They can guide you through the best strategies to restore your skin's health and appearance while considering your unique circumstances.

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