Steroid Injection for Scars in Orange County
Intralesional corticosteroid injected directly into raised scar tissue. Performed personally by Dr. Amir Mortazavi, MD.
Corticosteroid injection is the first-line treatment for keloid and hypertrophic scars, and it has been for decades. The steroid suppresses the overactive collagen production driving the raised tissue and breaks down existing collagen within the scar — which flattens it, softens it, and relieves the itching and tenderness that often bother patients more than the appearance does.
This is the starting point for most raised scars. It's straightforward, well-established, and effective for a large proportion of cases.
Treats: keloid scars · hypertrophic (raised) scars · thickened surgical scars · raised scars that itch, burn, or are tender to touch · earlobe keloids from piercings
What to expect: the injection takes seconds per site and stings — scar tissue is dense, and pushing fluid into it creates pressure. Flattening is progressive rather than immediate. Most scars need a series, typically spaced four to six weeks apart, and improvement builds across the series.
Realistic outcome. The goal is flattening, softening, reduced redness, and relief from itching and tenderness. Keloids are a chronic tendency rather than a one-time event — they can recur, and maintenance treatment is common. Any provider telling you a keloid will disappear permanently is overselling.
Known effects worth understanding: corticosteroid can cause thinning of surrounding skin, lightening of skin color at the site, or small visible vessels if concentration or frequency is excessive. Lightening is more noticeable in deeper skin tones. These effects are controlled by dose, dilution, and spacing between sessions — which is why this is performed by the physician and why the interval between treatments isn't shortened on request.
When something else may work better:
Very dense or thick scars often resist injection because the steroid can't distribute through the tissue — laser-assisted steroid delivery creates microchannels first so the medication actually penetrates.
Flat scars with color or texture problems rather than raised volume are a different issue — see laser scar treatment.
Depressed or indented scars are the opposite problem entirely. Steroid would worsen them. Those need subcision.
Dr. Mortazavi will tell you which of these your scar actually is before treating it.
What Are Steroid Injections for Scars?
Steroid injections are one of the most effective non-surgical treatments for keloid scars and hypertrophic scars. These types of scars are raised, thick, and often itchy or painful. At Plump Medical Spa in Orange County, Dr. Amir Mortazavi, MD, uses steroid injections to safely flatten scars, soften their texture, and relieve discomfort.
How Do Steroid Injections Work?
A corticosteroid solution is injected directly into the scar tissue
The steroid reduces inflammation and collagen overproduction
Over time, the scar becomes flatter, lighter, and less noticeable
Injections are typically spaced 4–6 weeks apart for best results
Why Choose Plump for Scar Treatment?
Doctor-led injections only — ensuring safety and precision
Customized dosing based on scar type and size
Relief from pain, itch, and cosmetic concerns
Trusted medical expertise serving clients across Orange County
What to Expect
Treatment Time: 10–15 minutes per session
Downtime: None — resume daily activities right away
Number of Treatments: Most scars require a series of 3–6 sessions
Results: Gradual flattening and softening over several weeks
Ideal Candidates
Steroid injections are ideal if you have:
Keloid scars that extend beyond the original wound
Hypertrophic scars that are thick and raised but remain within the wound area
Painful, itchy, or cosmetically concerning scars
Scars from surgery, acne, piercings, burns, or injuries
Frequently Asked Questions
Do steroid injections remove scars completely?
They don’t erase scars but significantly reduce size, thickness, and discomfort.
Are results permanent?
Improvements are long-lasting, but some keloids may regrow over time. Maintenance injections may be needed.
Are steroid injections painful?
Mild discomfort may occur during the injection, but it is quick and well tolerated.
How many sessions will I need?
Most patients require 3–6 treatments spaced several weeks apart.
Can scars return after treatment?
Yes, especially with keloids. Consistent follow-up helps minimize recurrence.
Are there risks?
Rare risks include skin thinning or lightening at the injection site.
Can this treat acne scars?
Steroid injections are best for raised scars, not indented acne scars.
Can I combine this with other treatments?
Yes. Scar improvement is often maximized when combined with lasers or microneedling.
Is it safe for all skin types?
Yes. Steroid injections can be safely used on all skin tones.
Why Plump Medical Spa?
Dr. Amir Mortazavi performs all injections personally, ensuring each treatment is safe, effective, and tailored to your needs.