Skin Depressions After Steroid Injections: Causes and Solutions

Q: Skin Depressions After Steroid Injections: Causes and Solutions

Hello： In this situation, it is advisable to wait for six months to a year without treatment. <br>It is especially important not to use topical ointments in haste, particularly those containing steroids. <br>If there are still concerns after a year, please consult an orthopedic s

Depression caused by steroid injections?

Hello Doctor, my daughter is in the second grade.
On September 6th, she fell off her bicycle.
After the wound healed, there was redness and swelling at her chin.
The doctor mentioned that the subcutaneous tissue had necrosis and administered two doses of steroids (one on September 19 and another on October 17).
By November 17, the redness and swelling had completely subsided, but the collagen was also lost, resulting in a noticeable indentation in her chin.
As of December 25, the indentation is still quite prominent.
I would like to ask: 1.
Will this type of sequelae eventually regenerate collagen tissue to fill in the indentation? 2.
If so, how long might it take? 3.
During this period, should she apply any medication or consume specific foods to stimulate the growth of subcutaneous tissue? 4.
Should we consider consulting a dermatologist or a plastic surgeon for cosmetic intervention? Thank you for your response.

Xinji de jiazhang, 40~49 year old female. Ask Date: 2008/12/25

Dr. Huang Ruiyun reply Dermatology

Hello: In this situation, it is advisable to wait for six months to a year without treatment.
It is especially important not to use topical ointments in haste, particularly those containing steroids.
If there are still concerns after a year, please consult an orthopedic specialist.
Wishing you peace and good health.

Reply Date: 2008/12/25

More Info

Understanding skin depressions after steroid injections, especially in a pediatric context, requires a nuanced approach. When a child experiences trauma, such as a bicycle accident, the body initiates a healing response. However, in some cases, the healing process can lead to complications, including the loss of collagen and the formation of skin depressions.

1. Will the collagen tissue regenerate on its own?
After steroid injections, particularly in cases where there has been tissue damage or necrosis, the body may struggle to regenerate collagen effectively. Steroids can inhibit the inflammatory response necessary for healing, which can lead to a reduction in collagen production. In many cases, the body does have the capacity to heal and regenerate collagen over time, but this process can be slow and may not completely restore the skin to its original state.
2. How long does it take for collagen to regenerate?
The timeline for collagen regeneration can vary significantly based on several factors, including the individual's age, overall health, and the extent of the tissue damage. In children, the healing process is often more robust, but it can still take several months to a year for noticeable improvement. It's important to monitor the area and consult with a healthcare provider if there are concerns about the healing process.

3. What can be done to stimulate tissue growth?
While there is no specific medication that guarantees collagen regeneration, certain practices can support skin health. A balanced diet rich in vitamins C and E, zinc, and protein can promote healing. Foods like citrus fruits, nuts, seeds, and lean meats are beneficial. Additionally, topical treatments that contain ingredients like hyaluronic acid or peptides may help improve skin texture and hydration. However, it's essential to consult with a dermatologist before starting any new treatment to ensure it is appropriate for the child's skin.

4. Should a dermatologist or plastic surgeon be consulted?
Given the visible skin depression and the history of steroid injections, it would be wise to consult with a dermatologist first. They can assess the area and determine if any further treatment is necessary. If the depression persists and is a cosmetic concern, a referral to a plastic surgeon or a specialist in cosmetic dermatology may be appropriate. They can discuss options such as dermal fillers, microneedling, or other procedures that can help improve the appearance of the skin.

In summary, while the body has the potential to regenerate collagen, the process may take time, and there are supportive measures that can be taken to enhance healing. Consulting with healthcare professionals will provide the best course of action tailored to the child's specific needs. Regular follow-ups will also help monitor the situation and adjust treatment as necessary.

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