Overview
Intralesional Injection is a therapeutic procedure to inject medications directly into skin lesions for treatment.
Intralesional injection is crucial for treating keloids, hypertrophic scars, alopecia areata, and inflammatory skin conditions.
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Indications
Excessive scar tissue
Thick scars
Hair loss
Plaque psoriasis
Ring-shaped lesions
Contraindications
Absolute Contraindications
Relative Contraindications
📋 Equipment Checklist
Check off items as you gather them:
Pre-procedure Preparation
Preparation includes patient assessment, lesion evaluation, informed consent, and understanding injection techniques.Step-by-Step Procedure
Step 1: Lesion Assessment
Evaluate lesion characteristics.
⚠️ Common Mistakes to Avoid:
- Wrong diagnosis
- Inadequate assessment
💡 Pro Tip:
Confirm diagnosis.
Step 2: Medication Preparation
Prepare medication.
⚠️ Common Mistakes to Avoid:
- Wrong concentration
- Wrong medication
💡 Pro Tip:
Use appropriate medication.
Step 3: Skin Preparation
Clean injection site.
⚠️ Common Mistakes to Avoid:
- Poor preparation
- Contamination
💡 Pro Tip:
Use sterile technique.
Step 4: Injection Technique
Inject medication.
⚠️ Common Mistakes to Avoid:
- Wrong depth
- Wrong technique
💡 Pro Tip:
Use proper technique.
Step 5: Post-injection Care
Provide care instructions.
⚠️ Common Mistakes to Avoid:
- Poor instructions
- Missed complications
💡 Pro Tip:
Give clear instructions.
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Post-procedure Care
Post-procedure care involves monitoring for response, side effects, and scheduling follow-up appointments.Complications & Management
| Complication | Incidence | Signs | Management | Prevention |
|---|---|---|---|---|
| Atrophy | 10-20% | Skin thinning | Time, monitoring | Proper technique |
| Hypopigmentation | 5-15% | Light patches | Time, camouflage | Proper technique |
| Infection | 1-3% | Redness, pain, discharge | Antibiotics | Sterile technique |
| Pain | 5-10% | Injection pain | Analgesics | Proper technique |
Clinical Pearls
Always confirm diagnosis before injection.
Use appropriate medication and concentration.
Inject at correct depth.
Monitor for side effects.
Document injection details.
Consider cosmetic outcome.
Monitor for complications.