Skin Treatment

Cystic Acne Injection (Intralesional Triamcinolone)

Direct intralesional triamcinolone for cystic acne — flattens stubborn cysts in 24–48 hours, the dermatologist's emergency-acne tool.

Safety summary
Duration
5–10 minutes per spot
Pain level
Mild — warm tingling
Downtime
None — return to normal activities immediately
Contraindications
Pregnancy · active acne flare · isotretinoin within 6 months
Aftercare
SPF 50 + reapply · no exfoliation 5 days · gentle cleanser
★★★★★4.8 / 5 — 320+ reviews
CA
Tentang Rawatan Ini
Key facts
Category
Skin Treatment
Duration
5–10 minutes per spot
Downtime
None — return to normal activities immediately
Anaesthesia
Topical numbing optional
Price (from)
From ฿500 / spot · ฿1,500 / 3-spot package
Country of origin
USA (Triamcinolone)
Locations
Siam Square One · Ekamai
Patient rating
4.8 / 5 (320+ reviews)

Intralesional triamcinolone (commonly called 'cortisone shot' for acne) is the dermatologist's emergency tool for cystic acne — large, deep, painful cysts that don't respond to topical treatment. A small dose of triamcinolone acetonide (typically 2.5–10 mg/ml dilution) is injected directly into the cyst with a fine 30G needle.

The cyst flattens within 24–48 hours, dramatically reduces pain, and clears without scarring or post-inflammatory hyperpigmentation. Most-booked emergency dermatology service — particularly for patients with a wedding, photo shoot, or important meeting in the next 5 days who can't wait for a topical regimen to work.

Authenticity & Provenance

Where it comes from, what's inside, who certifies it.

Conditional — verify with clinic

Intralesional triamcinolone (synthetic corticosteroid). Some formulations include benzyl alcohol as preservative — alcohol-as-preservative is permissible under most opinions but a stricter view exists. Clinic stocks alcohol-free formulation on request.

Country of origin
USA (Triamcinolone)
Siapakah Ini Untuk
  • Cystic acne emergencies (wedding, photo shoot, important meeting)
  • Stubborn deep cysts not responding to topical treatment
  • Patients with a history of acne scarring (prevention via early intervention)
  • Recurrent cystic-acne flares in adults on isotretinoin maintenance
Rawatan Anda, langkah demi langkah
  1. 01
    Lesion assessment

    Photograph cyst, confirm cystic vs nodular, check for active infection.

  2. 02
    Cleansing

    Antiseptic cleanse of injection site.

  3. 03
    Triamcinolone injection

    Fine 30G needle delivers 0.05–0.1 ml of dilute triamcinolone directly into cyst.

  4. 04
    Aftercare

    No bandage required; gentle skincare; visible flattening within 24–48h.

Why Waleerat at this price

Compare our pricing with anyone — here is what you get that's different.

🩺
Board-certified physicians since 2013

Every treatment performed by a Thai-licensed physician — Mahidol-trained MDs with documented case counts. No nurse-injectors.

🔍
Lot-number verification, on demand

Show me the lot. Every injectable opened in front of you with serial visible — no white-label or counterfeit risk.

🛡
Thai FDA + US FDA + KFDA + CE approved

Our injectables and devices pass at least one major regulator's filing. Provenance is published on every service page.

🌐
8-language clinical support

Thai, English, 中文, 日本語, 한국어, العربية, Bahasa Melayu, Español, Русский — written and spoken at consultation.

📍
Two Bangkok BTS-station branches

Siam Square One (BTS Siam, opposite Paragon) + Ekamai (BTS Ekamai, Sukhumvit). Walk-in distance, no driving stress.

Pain level — honest 1-10
3/ 10

Mild — warm tingling

Topical anaesthetic 30 minutes before every treatment. Anxiolytics available on request. Your physician adapts technique to your sensitivity level.

Open-Box Protocol — see the lot before injection
🔍
Vial opened in front of you

Every injectable is unwrapped + opened in front of the patient — never pre-prepared in another room.

📷
Lot number photographed if requested

Take a photo of the lot number + expiry on the box — verify against the manufacturer database any time.

🛡
Authentic-source-only policy

Allergan / Galderma / Merz / Allergan / LG Chem / CLASSYS direct — no grey-market, no white-label, no parallel imports.

📋
Consent form lists the actual product

Consent form names the exact brand + lot. If we substitute, we re-consent on the spot.

Many of our chat patients cite 'doctor opened the vial in front of me' as the reason they chose Waleerat — so we made it an explicit, published protocol.

Pre-visit checklist

137 first-time patients asked this in chat — so we wrote it as a checklist.

Avoid before
  • NSAIDs (ibuprofen, aspirin) — 5 days prior
  • Fish oil, vitamin E, garlic, ginkgo — 5 days prior
  • Alcohol — 24 hours prior
  • Heavy facial massage / sauna — 24 hours prior
Bring with you
  • Government photo ID
  • List of current medications + supplements
  • Reference photos (Instagram saves work great)
  • Sunglasses — easy on the eyes after numbing
Compare with alternatives
TreatmentMechanismDurationResults lastPriceBest for
Cystic Acne Injection (Intralesional Triamcinolone)(this page)Direct intralesional triamcinolone for cystic acne — flattens stubborn cysts in 24–48 hours, the dermatologist's emergency-acne tool.5–10 minutes per spotCyst flattens within 24–48 hours; pain reduced within 12 hours; full clearance over 5–7 days. Single-session resolution for most cysts; rare cysts may require a second injection at 1 week.From ฿500 / spot · ฿1,500 / 3-spot packageCystic acne emergencies (wedding, photo shoot, important meeting)
Wrinkle-Relax InjectionInjeksi relaksan garisan untuk garis dinamik.15–20 minutesOnset 3–7 days, peak at 14 days. Lasts 3–4 months.From ฿3,000 (Hutox/Neuronox) · ฿5,000 (Xeomin) · ฿8,000 (Allergan)Garis dahi dan frown
Volume FillerPemulihan Isi Hidrolik.30 minutesImmediate. Lasts 9–18 months depending on product and area.From ฿4,999/cc (Neuramis promo) · ฿9,999 (Restylane) · ฿11,999 (Juvederm)Kehilangan Isi Pipi
Hutox Botulinum Toxin Type A (Korea)Korean Huons BioPharma — 99.8% purity · 4–6 month duration · Thai-FDA approved · accessible Korean Botox brand.15–20 minutesOnset 3–5 days; peak result 10–14 days; sustained effect 4–6 months. Maintenance every 4–6 months for continuous results.From ฿3,000First-time Botox patients (entry tier)

Comparative information only — individual results vary. Please consult a licensed physician before deciding.

Before & After
Case shown in private consult
Case shown in private consult
Case shown in private consult
Case shown in private consult
Case shown in private consult
Case shown in private consult

We respect PDPA — only patients who provided written consent are shown publicly. Ask to see consented case examples privately during consultation.

Aftercare
Do
  • Terapkan pelembab ringan
  • SPF 50+ sehari - tidak boleh dilupakan
  • gunakan hanya pembersih ringan selama 5 hari
  • tahapkan penghidratan
Don't
  • Jangan gunakan retinoid / AHA / BHA selama 7 hari
  • hindari paparan sinar matahari selama 2 minggu
  • jangan masuk sauna / mandi panas selama 3 hari
  • hindari menggosok atau eksfoliasi selama 7 hari

General guidance — your physician may adapt based on your individual case.

Available at our branches
Flagship · BTS Siam
Siam Square One

Siam Square One flagship — opposite Siam Paragon, skywalk from BTS Siam Exit 3, in the CBD heart of Bangkok (Pathum Wan). 1-minute walk from BTS.

226/1 Rama 1 Road, 2F, Pathum Wan District, Bangkok 10330 — Siam Square One, opposite Siam Paragon · BTS Siam Exit 3
Walking distance to
  • BTS Siam (Exit 3)1m
  • Siam Paragon2m
  • Siam Discovery3m
  • Siam Center3m
  • Siam Kempinski Hotel4m
  • MBK Center5m
  • Chulalongkorn University8m
View on Google Maps →
Japanese-focused · 日本語サポート
Ekamai · 日本人専用窓口

Ekamai branch — standalone clinic near BTS Ekamai on the Sukhumvit corridor. Japanese-speaking concierge (Omotenashi). On-site parking.

Ekamai, Bangkok — standalone clinic near BTS Ekamai (Sukhumvit corridor)
Walking distance to
  • BTS Ekamai4m
  • Gateway Ekamai6m
  • Major Cineplex Ekamai6m
  • Park Hyatt Bangkok12m
  • EmQuartier14m
  • EmSphere15m
View on Google Maps →
Keistimewaan
  • Flattens cystic acne in 24–48 hours
  • Dramatically reduces pain within 12 hours
  • Prevents scarring + post-inflammatory hyperpigmentation that severe cysts often leave
  • Quick appointment (5–10 min per spot)
  • Standard dermatology emergency tool — well-evidenced safety profile

Apa yang Anda Tunggu

Cyst flattens within 24–48 hours; pain reduced within 12 hours; full clearance over 5–7 days. Single-session resolution for most cysts; rare cysts may require a second injection at 1 week.

Keputusan individu berbeza. Hasil bergantung kepada umur, jenis kulit, anatomi, gaya hidup dan kepatuhan kepada rawatan selepasnya. Semua prosedur membawa risiko; maklumat risiko terperinci dibincangkan semasa konsultasi dan maklumat persetujuan yang telah ditandatangani diperoleh sebelum sebarang rawatan.

Talk to a physician first

Considering Cystic Acne Injection (Intralesional Triamcinolone)?

Share your details — our physician will confirm your candidacy and recommend the right protocol before you book. No deposit required.

Preferred branch

By submitting, you consent to our PDPA-compliant handling of your contact details for the purpose of clinic consultation only.

Bersedia bercakap dengan doktor kami?

Hantar foto atau ceritakan masalah anda di LINE — kami akan cadangkan rawatan dan julat harga sebelum lawatan.

Chat di LINE
Soalan Lazim
Is triamcinolone halal?+
Conditional — depends on supplier batch. Triamcinolone acetonide is a synthetic corticosteroid (active ingredient is fully synthetic, halal-compatible). The carrier solution and excipients vary by manufacturer — most pharmaceutical-grade triamcinolone uses synthetic carriers, but some manufacturers historically used animal-derived processing aids. Our supplier is verified synthetic-carrier; we provide source documentation on request 24 hours before treatment.
Will the injection leave a permanent dent?+
Rare but possible if the dose is too concentrated or the volume too high. We use the minimum effective dose (typically 0.05 ml at 2.5 mg/ml) to minimise this risk. A temporary depression at the injection site is normal for 1–2 weeks and resolves on its own. Permanent fat-atrophy depressions occur in <1% of properly-dosed injections. The benefit (preventing scarring from the cyst itself) significantly outweighs this small risk for cystic acne specifically.
Can I get this same-day if I have an emergency cyst?+
Yes. Cystic acne injection is one of our most-booked same-day-availability services. Walk-in or LINE-booked appointments are typically accommodated within 2-4 hours. Same-day-arrival international patients with a cystic-acne emergency between landing and an event are our most common acne-injection use case — flight cabin pressure can trigger flare-ups, and we routinely treat 'just-landed' cysts on Day 1 of arrival.
Common questions about our clinic

Real questions from real customers — collated from chat conversations.

Are there other promotions?+
Current promotions are refreshed monthly at /promotions. Follow LINE @waleeratclinic for early access to special offers. → View live promos
How much does it cost — is there a promo?+
Starting prices are listed on each service page. Current promos are at /promotions, refreshed monthly. → View live promos
How long does the treatment take?+
Each service varies — topical numbing 30 minutes + procedure 30–90 minutes, totalling 60–120 minutes per session.
Are there side effects?+
Every aesthetic treatment has minor reversible side effects (mild swelling, bruising, redness for 1–7 days). Serious side effects are rare and preventable with a board-certified physician and following aftercare instructions.
Where is the clinic?+
Two Bangkok branches: Siam Square One near BTS Siam (Exit 3) and Ekamai near BTS Ekamai. Open 11:00–19:00 daily.
How long do results last?+
Varies by treatment — Botox 3–6 months · HA filler 9–18 months · thread lift 12–18 months · HIFU/RF 12–24 months · Sculptra 2–3 years · Pico/Drip ongoing per physician guidance.
Does it hurt?+
Topical anaesthetic applied 30 minutes before. Discomfort averages 3–6/10 depending on treatment. Anxiolytics available for anxious patients.
Pregnant or breastfeeding — can I do this?+
All injectable treatments are paused during pregnancy and breastfeeding. Light facials and select vitamin drips remain safe. Always inform your physician.
Can I go home immediately / how many days off work?+
Filler/Botox/laser — go home immediately, no rest needed · thread lift — go home immediately, avoid strenuous activity 2–3 days · HIFU/RF — go home immediately.
Translation support for Chinese / Japanese / Korean / English?+
Chinese + English interpretation at both branches · Japanese/Korean — book 24h ahead. Ekamai branch has Japanese-speaking staff on-site.
How do I book — is rush appointment available?+
Book via LINE @waleeratclinic or website. Rush appointments within 24h subject to availability.
Can I pay by credit card / 0% instalment?+
All credit cards accepted · 0% instalments up to 10 months (KBank/SCB/BBL/Citi) · QR PromptPay supported.

Masih ada soalan?

Chat di LINE
Begin your consultation

Ready to talk it through? Let's begin.

Konsultasi percuma bersama doktor berlangsung kira-kira 30–45 minit. Kami akan mendengar dahulu — membincangkan matlamat anda, kemudian memutuskan bersama sama adakah sebarang rawatan sesuai untuk anda.