Steroid injections are not very uncommon in dermatology and other clinical fields owing to their multifaceted actions. This double edged sword has many local adverse effects and doesn’t even leave its site of penetration also and can result in persistent lipoatrophy, pigmentary changes and telangiectasia. Managing the lipoatrophy has been always a difficult task particularly in children. We successfully treated this by injecting 1 ml normal saline biweekly directly into area of lipoatrophy in 2 children. Lesion showed improvement just after first injection and after third session lesional area matched approximately with the surrounding skin with respect to depth, colour and texture. So Normal saline injection can be considered as a safe, economical, feasible and effective treatment option for steroid induced lipoatrophy in all age groups including children.

Keywords: Corticosteroids, Lipoatrophy, Normal saline