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Doctor insights on: Anyone Know How Well Cortisone Injections Work For Cystic Acne

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Anyone know how well cortisone injections work for cystic acne?

Anyone know how well cortisone injections work for cystic acne?

Local only: This can be used selectively for acute cysts but are only part of more comprehensive treatment with oral and topical medications. For severe cases Accutane which is used for 15-20 weeks can work well long term. Discuss with dermatologist your history and treatment options. ...Read more

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Dr. Derron Wilson
135 doctors shared insights

Cortisone Injections (Definition)

The word "cortisone" is thrown around a lot to mean a steroid, but there are many different types of steroids, and not all spaghetti is the same. In general, steroid injections are used to reduce inflammation. Inflammation = pain. You reduce the inflammation, you reduce the pain. Some steroids last longer than others, but can produce side effects. Discuss which one is being ...Read more


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Have cystic acne, use the topical creams but don't work. Only cortisone injections work but am trying to get pregnant. Is it ok, Docs answers conflict?

Have cystic acne, use the topical creams but don't work. Only cortisone injections work but am trying to get pregnant. Is it ok, Docs answers conflict?

"Waiting Awhile": Hi, I'm guessing your question here was "waiting awhile" because pregnancy safety questions are often times more of an art than a science. It's easy to say "we are unsure, but rather safe than sorry" and MUCH more difficult to say, "In my practice, I have found it safe and I think you will be ok" I recommend creating a powerful GYN relationship that can reassure you through the unknown. ...Read more

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Why are some doctors telling me it's safe to get cortisone injections for cystic acne while trying to conceive and in pregnancy and some say it is not?

Why are some doctors telling me it's safe to get cortisone injections for cystic acne while trying to conceive and in pregnancy and some say it is not?

May not be safe: Adequate studies are not done. However, cortisone crosses the placenta and there may be an association between cleft palate in infants and first trimester use of systemic corticosteroid. Also, there may be fetal growth retardation. Given, the short duration of pregnancy, I would refrain from using Cortisone injections until after pregnancy. ...Read more

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Significant atrophy of forehead due to cortisone injection into cystic acne 10 weeks ago. It has filled in very slightly. Will it continue to recover?

Significant atrophy of forehead due to cortisone injection into cystic acne 10 weeks ago. It has filled in very slightly. Will it continue to recover?

Cortisone-induced: It is not uncommon to have tissue atrophy after cortisone injection for cystic acne. It tends to "fill in" over a variable amount of time. There may be a residual slight indentation in the injection area when healing is complete. ...Read more

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My forehead is sunken in from a cortisone injection into a cystic acne lesion on jan.8/2013. What are the possible treatments?

My forehead is sunken in from a cortisone injection into a cystic acne lesion on jan.8/2013. What are the possible treatments?

Fat injection: First the area must have time to be free of steroid then fat injection taken from another area seems to be best the area may also fill in on its own. Saline injection is often suggested but doesn't reliably work see a plastic surgeon. ...Read more

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Are essential oils effective at curing cystic acne? I have tried everything even cortizone shots. Nothing works.

Are essential oils effective at curing cystic acne? I have tried everything even cortizone shots. Nothing works.

Use the hard stuff: "essential oils" are for aromatherapy and and other stuff that's largely entertainment. For real cystic acne, your best move is to get with a real dermatologist and discuss accutane. It's not cheap, pleasant, or entirely risk-free, but for most folks it's well worth it. If you're female, also try to find out whether / why you might have extra androgens on board & if you can take the ocp. ...Read more

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Are essential oils effective at curing cystic acne and scarring? I have tried everything you can think of, even cortizone shots. Nothing works.

Are essential oils effective at curing cystic acne and scarring? I have tried everything you can think of, even cortizone shots. Nothing works.

Options exist: Consult with a board certified plastic surgeon or dematologist to evaluate your personal options. This may include lasers, chemical peels, dermabrasion or prescription skin care. There are many options and you need a regimen tailored to your specific situation and expected results. ...Read more

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Yesterday I received a cortisone shot for what I thought was cystic acne above eyebrow. Today the area is larger and red and painful. Dime size. Help!

Yesterday I received a cortisone shot for what I thought was cystic acne above eyebrow. Today the area is larger and red and painful. Dime size. Help!

This may: be an allergic reaction (not to the cortisone but to the "vehicle" (material) the cortisone was dissolved in! Alternatively it could be an infection! Contact the Dermatologist who injected you and in the meantime HOT MOIST PACKS may help! Hope it does! Dr Z ...Read more

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I've been on prednisone for 3 days for cystic acne, i ended it yesterday and suffer from flare up, can I get cortisone shot in flared up cyst?

I've been on prednisone for 3 days for cystic acne, i ended it yesterday and suffer from flare up, can I get cortisone shot in flared up cyst?

Probably: Cystic acne is difficult to treat and i often find Prednisone for 3 days not effective. Prednisone, in general, doesn't work well long term or short term. We usually start with antibiotics, retinoids and a combo product of benz peroxide and clindamycin. A new product called aczone may also help. Injection may help with one spot not many. ...Read more

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Dr. Neal Schwartz
154 doctors shared insights

Cystic Acne (Definition)

Acne cysts are large nodules developing deep within the dermis, or second layer of skin. They are painful, disfiguring, and may cause deep scars. There is often a genetic predisposition to cystic acne. Treatment usually requires systemic medication including oral isotretinoin, and should be started early, before ...Read more


Dr. Ed Friedlander
2,040 doctors shared insights

Acne (Definition)

A common human skin disease characterized by areas of scaly red skin (seborrhea) with blackheads/whiteheads (comedones) , pinheads (papules), large papules (nodules), pimples & possibly scarring. Occurs mostly on face, upper chest & back. Treated with benzoyl peroxide, salicylic ...Read more