Intralesional steroid treatment alopecia areata

Skin graft or skin flap. Skin grafts or skin flaps are done after the scar tissue is removed. Skin grafts involve replacing or attaching skin to a part of the body that is missing skin. Skin grafts are performed by taking a piece of healthy skin from another area of the body (called the donor site) and attaching it to the needed area. Skin flaps are similar to skin grafts, where a part of the skin is taken from another area, but with the skin flaps, the skin that is retrieved has its own blood supply. The section of skin used includes the underlying blood vessels, fat, and muscles. Flaps may be used when the area that is missing the skin does not have a good supply of blood because of the location or because of damage to the vessels.

There are many different treatment options for various types of scars so the cost would depend on the type of scar, location, how large the scar is, and what treatments would be necessary.  Keloidal or hypertrophic (raised) scars are treated with intralesional injections with steroids or chemotherapy agents such as 5-FU (5-fluorouracil) or bleomycin, and also with certain lasers.  Other scars may benefit from resurfacing lasers such as CO2, Erbium, Fractionated CO2, or Fraxel treatments.  The overall price can range from $75 for one steroid injection to several thousand dollars if several lasers are used and if multiple treatments with multiple devices are required for large exstensive areas.  It is necessary to have a consultation with a knowledgeable board-certified dermatologist who specializes in treatment of scars.

As a Physician Assistant in dermatology, Denise is qualified to perform examination, diagnose, treat, and prescribe appropriate medical therapy for dermatologic needs. She is skilled in performing procedures to include cryotherapy, electrodessication, shave biopsies, punch biopsies, extractions, intralesional steroid injections, and excisions, as well as various cosmetic procedures including injectables (Botox and Juvederm), and lasers (Vbeam, Smoothbeam, Clear and Brilliant, Fraxel restore & Dual, QSRL, QSnd:YAG, Thermage, & Velashape).

In patients with the adrenogenital syndrome, a single intramuscular injection of 40 mg every two weeks may be adequate. For maintenance of patients with rheumatoid arthritis , the weekly intramuscular dose will vary from 40 to 120 mg. The usual dosage for patients with dermatologic lesions benefited by systemic corticoid therapy is 40 to 120 mg of methylprednisolone acetate administered intramuscularly at weekly intervals for one to four weeks. In acute severe dermatitis due to poison ivy, relief may result within 8 to 12 hours following intramuscular administration of a single dose of 80 to 120 mg. In chronic contact dermatitis, repeated injections at 5 to 10 day intervals may be necessary. In seborrheic dermatitis, a weekly dose of 80 mg may be adequate to control the condition.

Intralesional steroid treatment alopecia areata

intralesional steroid treatment alopecia areata

In patients with the adrenogenital syndrome, a single intramuscular injection of 40 mg every two weeks may be adequate. For maintenance of patients with rheumatoid arthritis , the weekly intramuscular dose will vary from 40 to 120 mg. The usual dosage for patients with dermatologic lesions benefited by systemic corticoid therapy is 40 to 120 mg of methylprednisolone acetate administered intramuscularly at weekly intervals for one to four weeks. In acute severe dermatitis due to poison ivy, relief may result within 8 to 12 hours following intramuscular administration of a single dose of 80 to 120 mg. In chronic contact dermatitis, repeated injections at 5 to 10 day intervals may be necessary. In seborrheic dermatitis, a weekly dose of 80 mg may be adequate to control the condition.

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