Thinking of Getting a Cortisone Shot for Acne? Here’s What to Know
We’re all familiar with the common acne treatments, from salicylic acid to benzoyl peroxide, and even retinol. But for a zit that just won’t go away, or one that pops up before a major event (doesn’t that always seem to happen? Just us?!), sometimes we have to call in the big guns—i.e., cortisone injections. Often deemed the “quick fix” for inflammatory acne, this dermatologist-administered treatment can greatly minimize a blemish, and fast. So, is this treatment right for your breakout? We talked to New York City-based dermatologist Joshua Zeichner, MD, to break down everything you need to know, from the results to the cost.
Meet the Expert
Joshua Zeichner, MD, is a New York City-based dermatologist. He is the director of cosmetic and clinical research at Mount Sinai Hospital in New York City.
What Is a Cortisone Shot, and Why Is It Good for Acne?
Cortisone is a steroid (although not an anabolic steroid) that can be used to treat both severe acne as well as acne scars. “Cortisone is an anti-inflammatory medication that we use for a variety of skin conditions, including pimples,” explains Dr. Zeichner. The medication is injected by a dermatologist into an acne nodule to reduce the size and appearance, and is a very common, low-risk procedure.
And while the treatment is highly effective on conditions such as acne cysts, it isn’t necessarily the right thing for all types of acne. “Cortisone shots are not an appropriate treatment for pimples that are not significantly inflamed,” says the derm. “They should not be used to treat blackheads or whiteheads.” (Try a salicylic acid treatment for those instead!)
What Are the Benefits of a Cortisone Shot?
Remember: Different types of acne call for different acne treatments. But in the event that a cortisone shot is right for you, here are the benefits.
Cortisone shots help calm acne lesions. “When injected into a pimple, it can reduce redness, swelling, and discomfort,” says Dr. Zeichner.
They work on stubborn—and painful—cystic acne. When no amount of pimple patches or over-the-counter topical treatment will do, enter: cortisone shots. They “are particularly useful for red, angry pimples and painful ‘undergrounders,’” says the dermatologist.
Cortisone shots work quickly. You can expect to see results in about 24–48 hours—which is why people turn to cortisone shots before all-eyes-on-you occasions like weddings.
They’re fast. The entire process takes just a few minutes, so you can pop into your derm’s office during a lunch break and still have time to grab a sandwich.
What to Expect When You Get a Cortisone Shot
To address the elephant in the room: Yes, these are true shots administered with a needle, so the utmost care and protocol needs to be followed. Still, it’s a very small needle and generally considered no big deal—even by those who may be needle-averse.
“After cleaning the skin with rubbing alcohol, a tiny needle is used to deliver the cortisone to the skin,” explains Dr. Zeichner. “It feels like a bee sting, and discomfort is minimal. Improvements in the pimple typically occur within 24 hours.”
How Much Does a Cortisone Shot for Acne Cost?
Aside from the added task of having to come into your doctor’s office, one of the downsides of cortisone injections is the cost: Each one runs $50–$100, depending on where you go and where you live. That said, they’re covered under many insurance plans, so if you go to an in-network dermatologist, cortisone shots may very well be covered under your plan as well. (Score!)
Are There Any Side Effects to a Cortisone Shot?
Like most treatments, there are a few things to consider before getting a cortisone shot to treat acne. “While extremely safe, the two potential risks of a cortisone shot are to develop a dent or divot in the skin, as well as a light spot,” explains Dr. Zeichner, who adds that “A light spot is more likely to occur in someone who has a darker skin tone to begin with.” That said, these effects at the injection site are usually temporary. “Fortunately this is a short-lived side effect when it happens, and usually resolves within a few weeks,” says the derm.
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