Scars are a natural part of the healing process, resulting from scar formation, but for many people, they can be a source of discomfort and self-consciousness. Among the various treatments available to improve the appearance of scars, steroid injections are a popular and effective option for treating hypertrophic scars. In this blog, we will explore what steroid injection treatment for scars entails, how it works, and what to expect from the procedure.
How can hypertrophic scars and keloids be minimised?
Minimizing a scar involves a combination of timely and appropriate treatments as well as proper wound care, especially for acne scars. To start, keeping the wound clean and moist with an antibiotic ointment and covered with a bandage can promote better healing and reduce the likelihood of noticeable scarring. For deep acne scars, treatments like dermabrasion and punch grafts can be particularly effective. Avoiding direct sunlight on the healing wound is crucial, as UV rays can darken the scar, making it more prominent. Dermatological procedures such as chemical peels and laser resurfacing can help reduce minor skin surface irregularities. Pulsed dye laser therapy is another option for reducing redness and discoloration in scars, including keloid scars, by targeting scarred skin and causing blood vessels to shrink and dissolve. Once the wound has closed, massaging the area with silicone gel or sheets can help to flatten and soften the scar tissue. Over-the-counter treatments like vitamin E or specialized scar-reducing creams may also be beneficial. For more persistent or severe scars, professional treatments such as laser therapy, steroid injections, or microneedling can be effective in reducing the scar’s appearance. Consulting with a dermatologist can provide tailored recommendations based on the scar’s type and location, ensuring the best possible outcome.
Intralesional Steroid Injection for Cystic Acne Scars
Intralesional steroid injections are an effective treatment for reducing the appearance of cystic acne scars. This procedure involves injecting a corticosteroid solution directly into the scar tissue, targeting the deep inflammation and excess collagen production that characterize cystic acne scars. The steroids help to reduce swelling, flatten raised scars, and soften the fibrous tissue, making the scars less noticeable and smoother to the touch. The treatment is relatively quick and can be performed in a dermatologist’s office with minimal discomfort. Patients typically see improvements within a few weeks, although multiple sessions may be required for optimal results. Intralesional steroid injections are particularly beneficial for treating hypertrophic and keloid scars resulting from severe cystic acne, offering a non-surgical option to improve skin texture and appearance.
What Are Steroid Injections?
Steroid injections involve the use of corticosteroids, a class of steroid hormones that reduce inflammation and suppress the immune response. When injected into a scar, these steroids can soften and flatten the scar tissue, making it less noticeable. This treatment is particularly effective for raised scars, such as keloids and hypertrophic scars, including keloid scars.
How Do Steroid Injections Work?
Scar tissue forms when the body produces too much collagen during the healing process, often resulting in raised, thickened scars like hypertrophic scars. In some cases, this results in scars that can be itchy, painful, or cosmetically concerning. Steroid injections work by:
Reducing Inflammation: Corticosteroids reduce inflammation in the scar tissue, which helps to decrease the size and redness of the scar.
Inhibiting Collagen Production: The steroids slow down collagen production, preventing the formation of excess scar tissue.
Softening the Scar: Over time, the injections help to break down the fibrous tissue in the scar, making it softer and more flexible.
The Procedure for Scar Revision Surgery
Steroid injection treatment for scars is a relatively simple and quick procedure that is typically performed in a doctor’s office. Here’s what you can expect:
Consultation: Your doctor will assess your scar and discuss your medical history to determine if steroid injections are the right treatment for you.
Preparation: The area around the scar will be cleaned, and a topical anesthetic may be applied to minimize discomfort.
Injection: Using a fine needle, the doctor will inject the steroid medication directly into the scarred skin. The number of injections needed varies depending on the size and type of scar.
Aftercare: You may experience some redness, swelling, or tenderness at the injection site, but these side effects are usually temporary. Your doctor will provide aftercare instructions to help manage any discomfort.
Expected Results
The results of steroid injection treatment for scars can vary, but many patients see significant improvement in the appearance of their scars. Multiple sessions may be needed, spaced several weeks apart, to achieve the best results. Most patients notice a reduction in the size, redness, and hardness of their scars within a few weeks of starting treatment. The goal is to make the scar blend in more naturally with the surrounding healthy skin.
Benefits of Steroid Injections to Treat Deep Acne Scars
Non-Surgical: Steroid injections are a minimally invasive treatment option that does not require surgery.
Quick and Convenient: The procedure is quick, often taking less than 30 minutes, with little to no downtime required.
Effective for Raised Scars: Steroid injections are particularly effective for treating keloids and hypertrophic scars, which can be challenging to manage with other treatments. The effectiveness of steroid injections for keloid scars varies, and multiple sessions may be required for optimal results.
Potential Side Effects
While steroid injections are generally safe, some potential side effects include:
Skin Thinning: Prolonged use of steroid injections can cause thinning of the skin at the injection site.
Discoloration: Some patients may experience temporary changes in skin color.
Pain and Swelling: Mild pain and swelling at the injection site are common but usually subside within a few days.
Proper aftercare is essential to ensure the skin heals effectively and to minimize any potential side effects.
How much do steroid injections cost for scars?
The cost of steroid injections for scars can vary widely based on several factors, including the geographic location, the healthcare provider’s fees, the number of injections required, and whether the treatment is part of a broader care plan. On average, the cost per session can range from $150 to $500. In some cases, multiple sessions are necessary to achieve the desired results, which can increase the overall cost. It is advisable to consult with your healthcare provider to get a detailed estimate tailored to your specific needs and to check whether your health insurance may cover part of the treatment costs.
Conclusion
Steroid injection treatment for scars is a viable option for those looking to improve the appearance of raised scars. By reducing inflammation and collagen production, these injections can help to flatten and soften scars, making them less noticeable. If you are considering this treatment, consult with a qualified healthcare provider to determine if it is the right choice for you. With proper care and multiple sessions, steroid injections can significantly enhance the appearance of scars and improve your confidence.