Intralesional Corticosteroid Injections
When topical or oral medicine is not effective enough to combat your severely inflamed nodulocystic acne, you might consider taking intralesional corticosteroid injections to prevent deep-seated scarring.
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Intralesional corticosteroid injections are considered a type of acne surgery. The dermatologist inserts a tiny needle filled with diluted corticosteroid directly into each nodule or cyst, passing the drug through the skin's surface and deep into a sub-epidermal reservoir. This allows a higher concentration of the drug to act directly on the site of infection, where other oral acne medications can't penetrate, for faster results.
Corticosteroid is one of the most powerful anti-inflammatory drugs used by dermatologists, but other drugs such as bleomycin, 5-flurouracil, interferons and stibogluconate are also sometimes used. An injection of corticosteroid is believed to quicken the healing process and lessen the swelling to the injection zone.
Intralesional steroid injections have shown improved skin texture within as little as 3 to 5 days. In addition to those suffering cystic acne, chronic psoriasis and eczema also show improvements from this painless treatment.
The advantages of intralesional corticosteroid injections are plenty. Firstly, it's an out patient procedure; which means it's not time consuming. Secondly, it's more effective than drainage and extraction acne surgery because it doesn't leave behind any scarring, however slight swelling may be present for the day following surgery.