Cortisone shots for acne side effects. Cortisone Shots for Acne: Benefits, Side Effects, and Alternatives
What are the benefits and risks of cortisone shots for acne. How do steroid injections work to treat cystic acne. What are the potential side effects of cortisone injections for acne. What alternative treatments are available for severe acne.
Understanding Cortisone Shots for Acne Treatment
Cortisone shots, also known as steroid or intralesional corticosteroid injections, are a targeted treatment option for severe acne, particularly cystic acne. These injections involve administering a diluted corticosteroid directly into inflamed acne lesions to reduce swelling, redness, and pain.
Dermatologists typically reserve this treatment for stubborn, painful nodules or cysts that haven’t responded to conventional acne therapies. The synthetic hormone used in these injections, often triamcinolone (Kenalog), acts as a powerful anti-inflammatory agent.
How do cortisone shots work?
Cortisone shots work by delivering a concentrated dose of anti-inflammatory medication directly into the acne lesion. This targeted approach helps to quickly reduce inflammation, shrink the size of the cyst or nodule, and alleviate associated pain. While regular acne treatments may take weeks to show results, cortisone injections can produce noticeable improvements within days.
Benefits of Cortisone Shots for Acne
Cortisone injections offer several advantages for those struggling with severe, cystic acne:
- Rapid relief: Unlike topical treatments or oral medications that may take weeks to show effects, cortisone shots can reduce inflammation and pain within days.
- Targeted treatment: The injection delivers medication directly to the problem area, maximizing its effectiveness.
- Minimal systemic effects: When used correctly, the localized nature of the treatment minimizes the risk of widespread side effects associated with oral steroids.
- Quick procedure: The injection process is typically fast and can be performed during a regular dermatology appointment.
- Versatility: Cortisone shots can be used on both facial and body acne.
Potential Side Effects and Risks
While cortisone shots can be highly effective, they do come with potential risks and side effects that patients should be aware of:
- Skin atrophy: There’s a risk of pitting or thinning of the skin at the injection site, which may result in a visible depression where the cyst was located. In many cases, these depressions are temporary and resolve on their own. For persistent cases, dermatologists may recommend dermal fillers as a corrective measure.
- Hypopigmentation: Some patients may experience an area of lighter than normal skin or a white spot at the injection site. This discoloration often fades over time without intervention.
- Systemic effects: If an excessive amount of steroid is injected and absorbed into the bloodstream, it could potentially lead to systemic side effects. This risk underscores the importance of having the procedure performed by a qualified dermatologist who can administer the correct dosage.
Are there limitations to cortisone shot treatments?
Yes, there are some limitations to consider:
- Frequency restrictions: Patients must wait approximately 6 weeks between injections in the same spot to minimize the risk of side effects.
- Not a regular treatment: Cortisone shots are intended for occasional use on specific cysts and nodules, not as a regular part of an acne treatment regimen.
- Professional administration required: These injections should only be administered by a qualified healthcare professional, typically a dermatologist.
Understanding Cystic Acne
To fully appreciate the role of cortisone shots in acne treatment, it’s essential to understand cystic acne, which is considered the most severe form of acne.
What distinguishes cystic acne from other forms of acne?
Cystic acne is characterized by large, painful, inflamed lesions deep within the skin. Unlike more common forms of acne that manifest as pimples, whiteheads, blackheads, papules, or pustules on the skin’s surface, cystic acne occurs when a clogged pore breaks deep inside the skin. This rupture leads to the formation of tender, painful bumps known as cysts (pus-filled) or nodules (inflamed). These lesions can persist for weeks or even months, causing significant discomfort and potential scarring.
What causes cystic acne?
Cystic acne, like other forms of acne, results from a complex interplay of factors:
- Hormones: Fluctuations in testosterone, estrogen, and androgen levels can trigger or exacerbate cystic acne.
- Genetics: A family history of cystic acne increases an individual’s likelihood of developing the condition.
- Environmental factors: High humidity, excessive sweating, certain cosmetics, and skincare products can contribute to cystic acne development.
- Medications: Some drugs, including lithium, corticosteroids, isoniazid, and phenytoin, have been associated with cystic acne.
- Bacterial involvement: While not the primary cause, bacteria such as Propionibacterium acnes (P. acnes) can play a role in the inflammatory process of cystic acne.
Alternative Treatments for Severe Acne
While cortisone shots can be effective for treating individual cystic acne lesions, they are not a comprehensive solution for managing severe acne. Dermatologists often recommend a multi-faceted approach, which may include one or more of the following treatments:
Isotretinoin
Isotretinoin, formerly known by the brand name Accutane, is a powerful oral medication derived from vitamin A. It works by reducing oil production, fighting acne-causing bacteria, and decreasing inflammation. Isotretinoin is often considered the most effective treatment for severe, resistant acne, but it requires careful monitoring due to potential side effects.
Antibiotics
Oral antibiotics, particularly tetracyclines like doxycycline or minocycline, can help control bacterial growth and reduce inflammation associated with cystic acne. These are typically prescribed for short-term use to minimize the risk of antibiotic resistance.
Topical Retinoids
Prescription-strength topical retinoids, such as adapalene or tazarotene, can help unclog pores, reduce inflammation, and promote skin cell turnover. These treatments can be effective for preventing new acne lesions and improving overall skin texture.
Hormonal Treatments
For women whose acne is influenced by hormonal fluctuations, treatments like spironolactone (an anti-androgen medication) or oral contraceptives may be recommended. These treatments work by regulating hormone levels that can contribute to acne development.
When to Consider Cortisone Shots for Acne
Cortisone shots are not a first-line treatment for acne, but they can be valuable in specific situations. Consider discussing this option with a dermatologist if:
- You have large, painful cystic acne lesions that are slow to heal
- Traditional acne treatments have not been effective in managing your cystic acne
- You have an important event coming up and need rapid improvement in the appearance of a particularly noticeable cyst
- You’re experiencing significant discomfort from one or more cystic lesions
It’s crucial to consult with a board-certified dermatologist to determine if cortisone shots are appropriate for your specific case. They can assess your overall skin condition, medical history, and treatment goals to recommend the most suitable approach.
Maintaining Skin Health Post-Treatment
While cortisone shots can provide rapid relief for individual acne lesions, maintaining overall skin health is crucial for managing acne in the long term. Here are some tips to support your skin health after receiving cortisone injections:
Consistent Skincare Routine
Develop and stick to a skincare routine tailored to your skin type and acne concerns. This typically includes:
- Gentle cleansing twice daily
- Using non-comedogenic moisturizers to keep skin hydrated without clogging pores
- Applying sunscreen daily to protect against UV damage and potential post-inflammatory hyperpigmentation
Avoid Picking or Touching
Resist the urge to touch, pick, or squeeze acne lesions, especially after receiving a cortisone injection. This can introduce bacteria and potentially worsen inflammation or scarring.
Follow-up Care
Attend all follow-up appointments with your dermatologist. They can monitor your skin’s response to treatment and make any necessary adjustments to your overall acne management plan.
Lifestyle Factors
Consider lifestyle modifications that may support skin health:
- Maintain a balanced diet rich in fruits, vegetables, and whole grains
- Stay hydrated by drinking plenty of water
- Manage stress through relaxation techniques or exercise, as stress can exacerbate acne
- Clean items that regularly come into contact with your skin, such as phone screens and pillowcases
Future Developments in Acne Treatment
The field of dermatology is continually evolving, with researchers exploring new approaches to treating severe acne. While cortisone shots remain a valuable tool for managing cystic acne, future treatments may offer even more targeted and effective solutions.
Emerging Therapies
Some promising areas of research include:
- Topical androgen receptor inhibitors: These treatments aim to block the effects of androgens on the skin, potentially reducing oil production and inflammation.
- Antimicrobial peptides: Naturally occurring molecules that may help fight acne-causing bacteria without contributing to antibiotic resistance.
- Gut microbiome modulation: Research is exploring the connection between gut health and skin conditions, including acne.
- Nanotechnology: Advanced delivery systems may improve the efficacy of topical treatments by enhancing penetration and targeting.
As research progresses, individuals with severe acne may have access to an even broader range of treatment options. However, it’s important to remember that what works best can vary significantly from person to person. Consulting with a dermatologist remains the best way to determine the most appropriate treatment plan for your unique skin needs.
Cortisone Shot for Acne: Benefits & Side Effects
Cortisone Shot for Acne: Benefits & Side Effects
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Medically reviewed by Sara Perkins, MD — By Scott Frothingham on September 4, 2020
To reduce the inflammation, swelling, and pain of cystic acne, a dermatologist can inject a diluted corticosteroid directly into a cyst.
This treatment is usually reserved for tender, swollen acne nodules, or cysts that aren’t responding to typical acne therapies. It can be very effective in shrinking nodules and cysts.
While a dermatologist may refer to the treatment as an intralesional corticosteroid injection, it’s widely known as a cortisone or steroid injection shot, or a cortisone injection.
Read on to learn more about the benefits and side effects of these injections.
A cortisone shot is the injection of a synthetic hormone. It’s used for short-term relief of inflammation and to shrink large cysts. The injections can be used on both the face and the body.
The shot, which is injected directly into an acne cyst or nodule, typically contains a small amount of a steroid, such as triamcinolone (Kenalog), a powerful anti-inflammatory.
Cysts and nodules may take weeks to resolve on their own. A steroid injection can reduce the swelling, redness and pain in a few days.
While this procedure can be quick and effective, there’s a possibility of side effects. These include:
- Pitting or thinning of the skin at the site of the injection. This can result in a visible depression where the cyst was. These depressions are often temporary and resolve on their own. Otherwise, your dermatologist may recommend dermal fillers.
- Hypopigmentation, an area of lighter than normal skin or a white spot. Over time, this often goes away on its own.
- Systemic effects from the steroid. This could be caused if more than the limit is injected and absorbed into the bloodstream.
You can get multiple injections in one session, with each injection going to a different area. You must wait about 6 weeks between injections in the same spot.
These injections are meant to be an occasional treatment for specific cysts and nodules. It’s not meant to be a regular part of your acne treatment or skin care regimen.
Cystic acne is considered to be the most severe form of acne.
Typically, acne appears as:
- pimples
- whiteheads
- blackheads
- papules
- pustules
Acne is usually caused by your skin’s pores becoming clogged with dead skin cells and oil. Bacteria, such as Propionibacterium acnes (P. acnes), is also often involved.
Sometimes a clogged pore breaks deep inside the skin forming large tender, painful bumps known as cysts (pus filled bumps) or nodules (inflamed bumps). These bumps can last for weeks or longer.
Cystic acne, like other acne, is caused by the interaction of a number of different factors:
- Hormones. Testosterone, estrogen, and androgen are linked to cystic acne.
- Genetics. If one of your parents has cystic acne, you’re more likely to develop it.
- Environment. High humidity, excessive perspiration, makeup, lotions, and cleansers can cause cystic acne.
- Certain drugs and chemicals. Lithium, corticosteroids, isoniazid, and phenytoin are associated with cystic acne.
Other treatments your dermatologist may discuss with you include:
- isotretinoin
- antibiotics (tetracycline)
- topical retinoids (adapalene, tazarotene)
- spironolactone
- oral contraceptives (for women)
While cortisone injections aren’t meant to be used as a regular acne treatment, they can be very effective with cystic acne.
If you have large, red, painful bumps deep in your skin that don’t form a head, you may have cystic acne. Consult with a board-certified dermatologist about recommended treatments, including cortisone injections.
Also check with your insurance regarding coverage. Some policies may classify cortisone injections as a cosmetic treatment and not cover them.
Last medically reviewed on September 4, 2020
How we reviewed this article:
Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.
- Acne. (2014).
girlshealth.gov/body/grooming/acne.html - Acne. (2020).
health.cornell.edu/sites/health/files/pdf-library/Acne.pdf - Acne: Causes & treatment. (2017).
my.clevelandclinic. org/health/diseases/12233-acne - Kraft J, et al. (2011). Management of acne. DOI:
10.1503/cmaj.090374 - Liu K, et al. (2019). Adult acne: Understanding underlying causes and banishing breakouts.
health.harvard.edu/blog/adult-acne-understanding-underlying-causes-and-banishing-breakouts-2019092117816 - Mayo Clinic Staff. (2020). Acne treatments: Medical procedures may help clear skin.
mayoclinic.org/diseases-conditions/acne/in-depth/acne-treatments/art-20045892 - Mayo Clinic Staff. (2020). Acne.
mayoclinic.org/diseases-conditions/acne/diagnosis-treatment/drc-20368048
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Medically reviewed by Sara Perkins, MD — By Scott Frothingham on September 4, 2020
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Cortisone Injections | Schwarz Dermatology PLLC
Cortisone is a chemical produced by the body to counter inflammation. Cortisone produced by the body is short-acting, and has only a temporary impact on inflammation, so is not very effective in helping to heal acne cysts or nodules. Cortisone injections, however, use highly concentrated cortisone, so are more effective in immediately reducing redness and inflammation, and providing long-lasting results. Although cortisone is a steroid, it is not an anabolic steroid, which is commonly used to increase strength and muscle size, and known to have harmful side effects.
Cortisone injections are used to treat severe and sustained deep-tissue acne. Severe acne may include cysts or nodules that develop on the face or other areas. Nodules are large, painful, solid lesions lodged deep within the skin. Cysts are deep, painful, pus-filled lesions. They are often difficult to clear up with common acne treatments such as topical medications. Deep-tissue acne can be painful and last for months. If left untreated, it can cause permanent scarring. Cortisone injections provide fast and effective relief.
Benefits of Cortisone Injections
Acne
Injected cortisone penetrates more deeply than just the top layer of skin, making it much more effective than topical solutions in treating cystic acne infection, and preventing scars from forming.
Scars
Treatment with cortisone injections improves the look of keloid and hypertrophic scars that have formed as a result of acne. Keloid scars are overgrown areas of scar tissue that form at the site of a previous injury such as an incision, wound or pimple. Hypertrophic scars are red, raised scars filled with excessive amounts of collagen. Cortisone injections make these types of scars less noticeable by reducing their redness and inflammation.
The Cortisone Injection Procedure
When used to treat acne, cortisone is injected directly into the affected area, where it starts to reduce inflammation right away. Healing of deep-tissue acne begins immediately after injection. The cortisone injection itself can hurt when placed into an already painful cyst or nodule. In those cases, a local anesthetic may be applied to numb the skin before giving the injection.
Multiple treatments of the same area are not needed because cortisone produces results immediately.
Side Effects of Cortisone Injections
The side effects of cortisone injections are minimal. The most common side effect, atrophy of the fatty tissue around the injection site that results in a slight depression in the skin, is temporary. In some cases, skin takes several months to return to normal. Immediately following an injection, the skin may swell slightly, but this quickly goes away. In dark-skinned people, a small white spot may appear at the injection site, but this, too, disappears soon afterward. There is almost no risk of allergic reaction because cortisone is naturally produced by the body.
Cortisone injections for cystic acne and nodules are performed in a doctor’s office.
Additional Resources
- MedlinePlus
- National Institutes of Health
- Centers for Disease Control and Prevention
- Eunice Kennedy Shriver National Institute of Child Health and Human Development
- U.S. Department of Health & Human Services
- U.S. National Library of Medicine
- WebMD
Do cortisone injections work for acne? – Drink-Drink
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Contents
- Are cortisone injections effective for cystic acne?
- Are there any side effects of cortisone injections for cystic acne?
- How often can I get cortisone injections for cystic acne?
- What is cystic acne?
- What causes cystic acne?
- What other treatments are available for cystic acne?
- Conclusion
To reduce the inflammation, swelling, and pain of cystic acne, a dermatologist may inject a diluted corticosteroid directly into the cyst.
This treatment is usually reserved for painful, swollen acne nodules or cysts that do not respond to typical acne treatments. It can be very effective in shrinking nodes and cysts.
While a dermatologist may refer to treatment as an intralesional corticosteroid injection, it is commonly known as a cortisone or steroid injection or cortisone injection.
Read on to learn more about the benefits and side effects of these injections.
Are cortisone injections effective for cystic acne?
A cortisone shot is an injection of a synthetic hormone. It is used for short-term relief of inflammation and reduction of large cysts. Injections can be used both on the face and on the body.
An injection given directly into a cyst or acne nodule usually contains a small amount of a steroid such as triamcinolone (Kenalog), a powerful anti-inflammatory agent.
Cysts and nodules may resolve on their own within a few weeks. An injection of steroids can reduce swelling, redness, and pain within a few days.
Are there any side effects of cortisone injections for cystic acne?
Although this procedure can be quick and effective, there may be side effects. This includes:
- The appearance or thinning of the skin at the injection site. This can lead to visible depression where the cyst was. These depressions are often temporary and go away on their own. Otherwise, your dermatologist may recommend dermal fillers.
- Hypopigmentation, an area of skin that is lighter than usual, or a white spot. It often goes away on its own with time.
- Systemic effects of the steroid. This can be caused by more than the limit being injected and absorbed into the bloodstream.
How often can I get cortisone injections for cystic acne?
You can have several injections in one session, with each injection directed to a different area. Between injections in the same place should take about 6 weeks.
These injections are for the intermittent treatment of certain cysts and nodules. This should not be a regular part of your acne treatment or skin care regimen.
What is cystic acne?
Cystic acne is considered the most severe form of acne.
Pimples usually appear as:
- pimples
- whiteheads
- comedones
- papules
- pustules
Acne usually occurs when your skin pores become clogged with dead skin cells and sebum. . Bacteria such as () are also often involved.
Sometimes clogged pores break deep under the skin, forming large, tender, painful bumps known as cysts (pus-filled bumps) or nodules (inflamed bumps). These beats can last for several weeks or longer.
What causes cystic acne?
Cystic acne, like other acne, is caused by the interaction of a number of different factors:
- Hormones. Testosterone, estrogen and androgen are associated with cystic acne.
- Genetics. If one of your parents has cystic acne, you are more likely to develop it.
- Environment. High humidity, excessive sweating, make-up, lotions and cleansers can cause cystic acne.
- Certain drugs and chemicals. Lithium, corticosteroids, isoniazid and phenytoin are associated with cystic acne.
What other treatments are available for cystic acne?
Other treatments your dermatologist can discuss with you include:
- isotretinoin
- antibiotics (tetracycline)
- topical retinoids (adapalene, tazarotene)
- spironolactone
- oral contraceptives (for women)
Conclusion
Although cortisone injections are not intended for routine acne treatment, they can be very effective for cystic acne.
If you have large, red, painful bumps deep under your skin that don’t form heads, you may have cystic acne. Consult a board-certified dermatologist about recommended treatments, including cortisone injections.
Also check with your insurance company for coverage. Some policies may classify cortisone injections as a cosmetic procedure and may not cover them.
Health
Cortisone injection. Deep acne express
Cortisone injection. Deep Acne Express
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There are situations when you have a big, red, terrible cystic pimple in the most visible place, and you need to get rid of it within 1-2 days. And waiting a week for it to pass by itself is not an option at all. In this case, a hormonal injection of cortisone will help you.
Corticosteroids are capable of being independently produced in the body of a healthy person, namely, in the adrenal glands. As you might guess, they are usually referred to as hormones, more precisely, to catabolics, which have the function of suppressing inflammatory processes. Cortisone injections are given under local anesthesia with microneedles at the site of acne. Cortisone is especially effective in fighting painful rashes and cysts (internal pimples-bumps).
So, the first thing you should do is make an appointment with a specialist, formerly it was dermatologists, now a similar procedure is available in many beauty salons. Cortisone works quickly against inflammation, removing pimples, preventing the formation of scar tissue and acne scars. The effect of cortisone to deflate acne occurs 24-48 hours after administration. Once it is injected, the pimples will appear smooth and soft.
Note that the effectiveness of this remedy will be preserved only when you do not violate the established rules for use: you can make a mistake during the injection, which can also lead to some serious consequences cortisone on 3 injections made in one year)
After Cortisol:
Mild Cleansing
CERAMEDX VERY Mild Cleanser, 177 ml
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Moisturizer
PACIFICA, COCONUT PROBIOTIC, TECHNOLOGY WATER REHAB CREAM (29 ML)
Revitalizing cream with probiotic complex and moisturizing ingredients
ANNEMARIE BORLIND, ZZ SENSITIVE, FIRMING FACE GEL, 1 50 ml
Firming. Calming. Refreshing.
For sensitive skin.
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Sunscreen
SOME BY MI, TRUECICA MINERAL 100 SOOTHING SUN CREAM, SPF 50+ PA++++
SPF50+ PA++++ sunscreen, 85% essence, glides on skin like a lotion.