I wrote to you before regarding cortisone injections. I do not like to get injections unless if necessary because I am always concerned about atrophy. Two weeks ago, I had a large cyst on my chin (I am 15 weeks into accutane), and my doctor injected me with a very dilute cortisone injection. Four days later it did not decrease in size, and my doctor told me to use compresses. The compresses resulted in the cyst emptying some, but the area of the cyst and all around it began to peel and become very raw; the area of the cyst was till somewhat inflamed. Two weeks after the initial injection, I went to him about this raw and open area where the cyst was. He said it was still really inflamed and said he was going to inject a dilute medicine (cortisone) into the area. He did most of the injection at the top of where the cyst was, and did a squirt where more inflamed area that peeled above it. I am so worried about atrophy!! I had this area injected twice within two weeks with a very dilute medication. Do you think atrophy will occur? I inquired this of him and said both injections were very dilute; thus, atropy should be unlikely. Do you always need a large cyst to inject or can an inflamed area be injected also and not result in atrophy?
Isn't it the strength of the injection that causes atrophy. Could you even inject a slightly inflamed area with dilute cortisone and not cause atrophy?