Intralesional steroid injection is an effective dermatological method used to treat specific skin lesions. Assoc. Prof. Dr. Tuğba Falay Gür provides a detailed explanation of how intralesional steroid injections are performed, the benefits they offer, and the treatment process, helping patients achieve healthier and more aesthetic skin.
What is Intralesional Steroid Injection?
Intralesional steroid injection is a treatment method where steroid medications are directly injected into skin lesions. This technique is especially used in the treatment of inflammatory skin diseases, cysts, acne, and other skin lesions. Steroids are effective in reducing inflammation, relieving swelling, and shrinking lesions.
Causes and Goals
The primary goal of intralesional steroid injection is to reduce the size and symptoms of skin lesions, improving the overall appearance of the skin. The main objectives of the treatment are as follows:
- Treatment of Inflammatory Skin Lesions: Improvement of acne, cysts, nodular acne, and other inflammatory lesions.
- Management of Diseases like Psoriasis and Eczema: Reducing inflammatory symptoms on the skin.
- Shrinking Benign Lesions: Reduction of lipomas, dermatofibromas, and other harmless skin lesions.
- Reducing Side Effects of Hydroxychloroquine: Alleviating the skin side effects of hydroxychloroquine treatment in some patients.
Principle of Intralesional Steroid Injection
Steroid medications work directly at the site of injection. They reduce inflammation and swelling, helping to shrink the skin lesion. Additionally, by controlling the growth and reproduction of skin cells, they prevent the spread of the lesion. Intralesional injection ensures that the drug has maximum effect on the targeted area while minimizing systemic side effects.
Treatment Process
The process for intralesional steroid injection generally includes the following steps:
- Evaluation:
The specialist dermatologist evaluates the type, size, and suitability of the skin lesion for treatment.
The patient’s general health and allergy history are reviewed. - Preparation:
The treatment area is cleaned and sterilized.
Local anesthetic creams may be applied to numb the area if necessary. - Injection:
The intralesional steroid solution is injected directly into the lesion using fine needles.
A mild sting or discomfort may be felt during the procedure. - Cooling and Relaxation:
Cooling methods may be used to relax the treated area post-treatment.
If needed, cool compresses are applied. - Aftercare:
Special aftercare recommendations are provided to support the healing of the treated area.
It is important to keep the area clean and dry post-injection.
Sunscreen with SPF is recommended for sun protection.
Benefits
The main benefits of intralesional steroid injections include:
- Rapid Healing: Steroids act quickly on the targeted area.
- Reduction in Inflammation and Swelling: Provides fast relief for inflammatory lesions.
- Minimal Invasive: Does not require surgical intervention, carrying less risk.
- Targeted Treatment: Since steroids are applied directly to the lesion, systemic side effects are minimal.
- Multi-purpose Use: Can be used to treat acne, cysts, acne scars, and other skin lesions.
- Easy Application: A quick procedure that can be performed in a short time.
Risks and Side Effects
Intralesional steroid injection is generally a safe procedure, but some side effects may occur:
- Redness and Swelling: Temporary redness and swelling may occur at the treated area.
- Bruising and Bleeding: Mild bruising may occur due to the use of fine needles.
- Pain and Discomfort: Mild pain or discomfort may be experienced during the injection.
- Skin Thinning: Prolonged use may lead to thinning and weakening of the skin.
- Hypopigmentation or Hyperpigmentation: In rare cases, temporary changes in skin tone may occur.
- Infection Risk: If sterile techniques are not used, the risk of infection may increase.
- Cyst or Nodule Formation: Rarely, cysts or nodules may form at the injection site.
- Increased Sensitivity: Increased skin sensitivity in the treated area.
- Chronic Use Side Effects: Long-term steroid use can lead to excessive skin thinning, hair loss, and other systemic side effects.
Who is it Suitable For?
Intralesional steroid injections may be suitable for individuals who:
- Have inflammatory skin lesions such as acne, cysts, nodular acne, and other inflammatory lesions.
- Have psoriasis, eczema, or other inflammatory skin diseases and want to alleviate symptoms.
- Want to reduce benign lesions like lipomas, dermatofibromas, and other harmless skin growths.
- Wish to reduce acne scars and lesions.
- Struggle with chronic skin conditions involving prolonged inflammation and lesions.
- Desire a healthier and more aesthetic skin appearance.
Results and Expectations
After the intralesional steroid injection treatment, the following changes may be observed in the skin:
- Reduced Inflammation and Swelling: Fast relief from inflammation and swelling of the lesions.
- Shrinking of Lesions: Significant reduction in the size of treated skin lesions.
- Smoother Skin Texture: Reduced irregularities and scars lead to a smoother appearance.
- Reduced Wrinkles and Fine Lines: A decrease in the appearance of fine lines and wrinkles.
- More Even Skin Tone: Achieving a more even skin tone by reducing pigmentation irregularities.
- Youthful and Healthy Look: Overall improvement leading to a more youthful, healthy, and aesthetic appearance.
- Improved Skin Health: Steroids help rejuvenate skin cells, improving skin health.
Cost and Number of Sessions
The cost of intralesional steroid injections can vary depending on the number, size, and type of lesions being treated. Typically, a single session can be applied, but multiple sessions may be required for more significant and lasting results. After a consultation with Assoc. Prof. Dr. Tuğba Falay Gür, a personalized treatment plan and cost analysis will be provided.
Prevention and General Precautions
To maximize the results of intralesional steroid injections and maintain skin health, the following precautions can be taken:
- Sun Protection: Use broad-spectrum sunscreens to protect from harmful UV rays.
- Skin Care: Use gentle cleansers, moisturize the skin, and avoid irritating products to maintain skin health.
- Balanced Nutrition: A diet rich in antioxidants and omega-3 fatty acids strengthens the immune system and supports skin health.
- Regular Exercise: Regular physical activity increases circulation, promoting skin and overall health.
- Quit Smoking and Reduce Alcohol Consumption: Smoking and excessive alcohol intake can negatively affect skin health and reduce treatment results.
- Stress Management: Techniques such as yoga, meditation, and breathing exercises support overall health and skin health.
- Regular Skin Check-ups: Regularly check your skin and report changes to a doctor for early intervention.
Skin Care and Lifestyle
For intralesional steroid injections to be effective, proper skin care and a healthy lifestyle are essential:
- Gentle Cleansers: Use hypoallergenic cleansers to avoid irritating the skin.
- Moisturizing: Regularly moisturize the skin to protect the skin barrier and support healing.
- Proper Nutrition: Consume foods rich in vitamins and antioxidants to support the immune system and skin health.
- Adequate Sleep: Ensure sufficient sleep to support the body’s healing processes.
- Hydration: Drink plenty of water to support overall skin and body health.
- Exercise: Regular physical activity increases circulation, benefiting skin health.
- Stress Management: Techniques like meditation, yoga, and breathing exercises support overall health and the immune system.
Appointments and Communication
For more information about intralesional steroid injections, evaluating treatment options, and seeking expert advice, please contact us through our communication channels. Take advantage of Assoc. Prof. Dr. Tuğba Falay Gür’s expertise to achieve healthier, aesthetic, and youthful skin.
