The most common side effect of topical corticosteroid use is skin atrophy. All topical steroids can induce atrophy, but higher potency steroids, occlusion, thinner skin, and older patient age increase the risk. The face, the backs of the hands, and intertriginous areas are particularly susceptible. Resolution often occurs after discontinuing use of these agents, but it may take months. Concurrent use of topical tretinoin (Retin-A) % may reduce the incidence of atrophy from chronic steroid applications. 30 Other side effects from topical steroids include permanent dermal atrophy, telangiectasia, and striae.
Excessive skin removal A common complication of circumcision is excessive removal of tissue, but it rarely becomes apparent until the penis reaches its full adult size at puberty. One important function of the foreskin is to provide the slack skin necessary to accommodate the enlargement of the adult penis when erect, meaning that a tight circumcision will make erections painful, and that a very severe operation may inhibit them. Both foreskin length and penis size vary immensely from one male to another, but before puberty it is impossible to know either of these details. There is not much that can be done in cases where there has been excessive skin removal, but a boy may be able to achieve some relief by utilising the stretching techniques developed for foreskin restoration.