Can You Undergo Laser Treatments While on Accutane? - Dermatology

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Is it safe to undergo laser treatments or chemical peels while taking oral isotretinoin?


I have been taking 20mg of isotretinoin for a month, and my acne has decreased.
I am considering undergoing a fractional laser and a pulsed dye laser treatment soon.
Can I have laser treatments while on isotretinoin?

Xuan, 20~29 year old female. Ask Date: 2015/07/29

Dr. Wu Yuxin reply Dermatology


It is not recommended; the medication should be discontinued first.

Reply Date: 2015/07/29

More Info


When considering laser treatments while on Accutane (Isotretinoin), it is crucial to understand the implications of combining these therapies. Accutane is a powerful medication primarily used to treat severe acne, and it works by significantly reducing oil production in the skin, preventing clogged pores, and promoting skin cell turnover. However, it also has a range of side effects, particularly concerning skin sensitivity and healing.

Can You Undergo Laser Treatments While on Accutane?
The general consensus among dermatologists is that it is not advisable to undergo laser treatments while actively taking Accutane. The primary reason for this caution is that Accutane can lead to increased skin sensitivity, dryness, and a slower healing process. Laser treatments, whether they are ablative (like fractional CO2 lasers) or non-ablative (like pulsed dye lasers), can cause trauma to the skin. If the skin is already compromised due to Accutane, the risk of complications such as prolonged redness, irritation, and scarring increases significantly.

Typically, dermatologists recommend waiting at least six months after completing an Accutane course before undergoing any laser treatments. This waiting period allows the skin to recover fully and return to a more normal state, reducing the risk of adverse reactions.

Specific Laser Treatments:
1. Fractional Laser (e.g., Fraxel): This type of laser is often used for acne scars and skin texture improvement. However, due to the aggressive nature of fractional lasers, it is best to avoid them while on Accutane.

2. Pulsed Dye Laser: This laser is used for vascular lesions and redness. Similar to fractional lasers, it can also cause significant skin reactions in those currently on Accutane.

Alternative Options:
If you are looking for treatments to improve your skin while still on Accutane, consider non-invasive options that do not involve lasers. For instance, gentle chemical peels or microdermabrasion can be alternatives, but these should also be approached with caution and under the guidance of a qualified dermatologist.

Post-Accutane Considerations:
Once you have completed your Accutane treatment and the recommended waiting period has passed, you can discuss with your dermatologist the best laser options for your skin type and concerns. They will assess your skin's condition and recommend the most suitable treatment plan tailored to your needs.

Conclusion:
In summary, while on Accutane, it is generally not advisable to undergo laser treatments due to the increased risk of skin sensitivity and complications. It is best to wait until you have completed your treatment and allowed your skin to heal before considering any laser procedures. Always consult with a qualified dermatologist who can provide personalized advice based on your specific skin condition and treatment history.

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