By Gary M. White, MD

Lipoatrophy after steroid injection Significant lipoatrophy 6 months after injection in a woman's hip with Kenalog.

Both lipoatrophy and hypopigmentation may occur after a steroid shot. The triamcinolone is supposed to be deposited intramuscularly, making this less likely. If the steroid is inadvertently injected into the fat, lipoatrophy will most certainly occur.


A depression in the skin from atrophy of both the skin and subcutaneous fat occurs near the site of injection. Hypopigmentation may also occur.


Hopefully, over time, the process will reverse.


Indian J Dermatol Venereol Leprol 2009;75:552



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