Targeted Lesion Treatment

Intralesional Injection for Keloids & Skin Lesions

A clinic-based injection procedure for keloids, hypertrophic scars, alopecia areata patches, and selected inflammatory skin lesions.

Intralesional injection delivers medication directly into a targeted skin lesion. At Skin Clinic by Dr. Eram Razzaq in Bahria Town Lahore, triamcinolone acetonide is used for keloids and hypertrophic scars, with dosage, injection depth, and session spacing planned after thorough lesion assessment.

Intralesional Injection for Keloids & Skin Lesions at Skin Clinic by Dr. Eram Razzaq
15+ Years Experience
Keloids Scars & plaques
4-6 Wks Session spacing
Treatment Overview

What is intralesional injection?

Intralesional injection places a small amount of medication directly into a skin lesion, bypassing the systemic route for targeted, controlled treatment. Dr. Eram Razzaq uses triamcinolone acetonide for keloids and hypertrophic scars, and may combine it with 5-fluorouracil for resistant cases. Treatment is also used for alopecia areata, cystic acne nodules, and selected inflammatory plaques after dermatologist confirmation.

Not sure if this treatment is right for your skin? Book a consultation so Dr. Eram can examine your concern, review history, and guide you safely.

Key benefits

Targets medication directly into the lesion for maximum local effect.
Effective for keloids, hypertrophic scars, and resistant inflammatory plaques.
Can flatten raised, thick scars over a planned course of sessions.
Minimal systemic exposure compared to oral medications.
Each session is adjustable based on response, tolerance, and lesion progress.
Suitability

Who should consider this treatment?

Suitability is confirmed after skin examination, medical history, lifestyle review, and realistic expectation setting.

Good candidate signs

May be suitable for

  • Patients with keloids or hypertrophic scars on the chest, earlobes, or surgical sites.
  • Alopecia areata patches not responding to topical treatments.
  • Cystic or nodular acne requiring targeted intervention.
  • Inflammatory skin plaques diagnosed and confirmed by the dermatologist.
  • Patients seeking a focused approach rather than broad systemic medication.
Doctor review needed

Needs caution or may avoid

  • Active skin infection or open wound at the injection site.
  • Uncontrolled systemic conditions without medical clearance.
  • Pregnant or breastfeeding patients without dermatologist approval.
  • Patients expecting a single session to resolve long-standing keloids.

Why choose Dr. Eram for this procedure?

Dr. Eram assesses lesion thickness, duration, location, and type before each injection.
Precise concentration planning reduces risk of skin atrophy or pigment change.
Sessions spaced 4 to 6 weeks apart for optimal response without overtreatment.
Follow-up visits allow dosage adjustment based on lesion softening and response.
Procedure Journey

What to expect during your session

01

Dermatologist consultation and full lesion assessment.

02

Cleaning and marking the injection site.

03

Small-volume injection into the lesion using sterile technique.

04

Aftercare instructions and next session planning.

Results & Recovery

Expected timeline

Immediately: Mild tenderness or temporary blanching at the injection site.
2 to 4 weeks: Lesion may begin to soften or flatten with early response.
4 to 8 weeks: Continued improvement assessed at follow-up session.
3 to 6 sessions: Keloids and hypertrophic scars may require this course for sustained improvement.
Aftercare

How to protect your results

  • Avoid rubbing or applying pressure to the treated lesion.
  • Do not use unprescribed topical creams or oils on the injection site.
  • Protect from friction, trauma, or tight clothing over the treated area.
  • Report unusual skin depression, pigment changes, or persistent swelling at review.
Treatment Process

Your intralesional injection journey in clear steps

A clear appointment pathway helps you understand assessment, procedure planning, recovery guidance, and follow-up before booking.

01 Consultation

Skin assessment

Dermatologist consultation and full lesion assessment.

02 Preparation

Safe planning

Cleaning and marking the injection site.

03 Treatment

Procedure session

Small-volume injection into the lesion using sterile technique.

04 Aftercare

Review & recovery

Aftercare instructions and next session planning.

Patient Reviews

Patient feedback for intralesional injection

Patient feedback focused on consultation quality, comfort, aftercare guidance, and realistic treatment planning.

FAQs

Common questions before booking

These answers are general guidance. Your actual plan depends on examination, skin type, medical history, and treatment suitability.

What is intralesional injection used for?

It is used for keloids, hypertrophic scars, alopecia areata patches, cystic acne nodules, and selected inflammatory skin lesions after dermatologist assessment.

Which medication is injected?

Triamcinolone acetonide (a corticosteroid) is most commonly used. For resistant keloids, it may be combined with 5-fluorouracil.

How many sessions are needed?

Most keloids need 3 to 6 sessions spaced 4 to 6 weeks apart, depending on lesion size, thickness, and response.

Is it painful?

A brief stinging or pressure is felt during injection. Topical numbing is rarely required for small or moderate lesions.

Can it flatten keloids completely?

It can significantly reduce keloid height and symptoms. Complete resolution depends on lesion age, location, and individual skin response.

Is there downtime?

Minimal. Some mild soreness or redness may be present for 24 to 48 hours after injection.

Can it cause skin depression?

High concentration or overly frequent injections may cause mild skin atrophy — which is why precise dosing by the dermatologist is important.

Who should not have this injection?

Patients with active infection, known drug hypersensitivity, or uncontrolled systemic conditions may need alternative approaches.

Can it treat alopecia areata?

Yes. Intralesional corticosteroids are a first-line treatment option for localized alopecia areata patches.

Do I need a consultation first?

Yes. The dermatologist must assess and confirm the lesion diagnosis before planning treatment.

Book Appointment

Ready to discuss intralesional injection?

Share your concern and the clinic team will guide you about appointment availability, suitability review, and the next step with Dr. Eram Razzaq.

Doctor-led consultation Suitability-first planning WhatsApp follow-up support