What is the best filler for skin damage from steroid injection? (photos)

Thank you for your question!A formal evaluation would be needed to determine what's best. Many of my patients try to avoid surgery, so we perform a non-surgical chin augmentation treatment with injectable fillers. Fillers like Radiesse as well as Sculptra are injected into the area, improving the overall appearance of the lower face and balancing the jaw and lip harmony. We use cannula injections to meticulously contour and project the chin, soften the chin along the jawline and improve the chin crease.
Implants are still a great option once you are 100% positive that you are ready for a permanent enhancement. I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert; our practice is located right here in Los Angeles. Best, Dr. Emer

As a rule, intralesional steroids depot in the skin for 21-28 days. So, don't panic, given time (usually at least a few weeks), you may see even considerable improvement. Your physician can also use intralesional saline (salt) injections to break up any crystals of steroid that may be present that may be contributing to the indentations. If, after several weeks, there is no improvement, then fillers are a reasonable treatment approach. I would not recommend permanent fillers, as these are well known to possess the potential for giving rise to complications even five, ten or twenty years after injection that are very difficult to treat. Hyaluronic acid-based fillers are natural and may be injected along with subcision to give long-lasting improvements. Make sure that you are consulting with a board certified aesthetic physician. Best of luck. 

The first treatment should be tincture of time before getting the areas filled. If you have a permanent area of skin thinning and dimpling, microdroplet Silikon-1000 may be considered for permanent improvement. Hope this helps. Dr Joseph

This is a common area to receive fillers and almost any king of hyaluronic acid filler will work. Another option is fat injections using your own fat. I actually prefer fat in many cases and some patients retain the fat indefinitely. Good luck 

The odds are good that you won't need a filler at all if you just give it enough time since 80% of steroid atrophy depressions fill themselves in within 3-6 months and this has only been 1 1/2 months according to the photos.

Hello Beats.  You have a lot of options.  Pretty much any filler on the market will be able to accomplish what you want.  Restylane, Restylane Lyft and Radiesse are a few of our favorites.  They have different prices and different durations but all can add the type of volume you are looking for.  When it comes to the amount necessary to achieve the desired outcome, it looks like at least 1 syringe each side but could be more and should be determined in person.  

A number of fillers would help including hyaluronic acid based fillers like Restylane Defyne and collagen stimulating fillers like Sculptra. 

If these areas do not fill in on their own than a dermal filler would be a good option.  There are many kinds of that would be appropriate to lift and fill in the deficit.  You should consult with an experienced provider who can best advise you.

Yes, I think that filler would work well here but before doing/using filler I would try injecting saline a couple of times. Firstly, injecting saline will show you how this fills when filler to be used and also sometimes helps the tissue recover from steroid injection on its own so might not need a filler. 

HelloWe have variety of fillers which could potentially add volume in lower face and marionette lines.The choice depends and it would be the best to have a formal consultation with an expert in facial sculpting. Bellafill, juvederm family, Restylane,...Best