Treatment FAQ

why do you have to wait 6 months after taking accutane to do laser treatment

by Olaf Rippin Published 3 years ago Updated 2 years ago
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Current recommendations to avoid laser therapy for six months following the final dosage of oral Accutane are based on decades-old reports of delayed wound healing, aberrant scarring, and keloid development associated with isotretinoin treatment.

Traditionally, lasers are avoided in patients on oral isotretinoin treatment. Most of the treatment centers suggest that laser should be done approximately 6 months after stoppage of medication due to the belief that it may lead to scarring and delayed healing.

Full Answer

What are the before and Afters of Accutane?

For example, here's some before and afters of Accutane: Most patients who receive oral isotretinoin or Accutane will be free of acne by the end of 4–6 months of treatment depending on the dose.

Can I do chemical peels or laser after Accutane?

These steps usually include eliminating scarring and smoothing a pitted and pock-marked skin surface. Laser skin resurfacing and chemical peels are very effective in renewing the skin surface resulting in a smoother, evenly toned complexion. But there’s an important question patients should ask: Can I do chemical peels or laser after Accutane?

How long does it take for Accutane to work for acne?

Most patients who receive oral isotretinoin or Accutane will be free of acne by the end of 4–6 months of treatment depending on the dose. However, recent clinical experience suggests that the long-term cure rate may be lower than was initially thought, and Accutane relapse rates may be higher, depending on a variety of variables (1) (2) (3) (4).

Can I take Accutane twice?

Can I Take Accutane Twice? Yes, you can go on another course of Accutane after the first course is completed if more treatment is required. For some people who have had their acne return after Accutane, a second course knowing the history and total dosage and length of the initial treatment is needed so create an adjusted dosage.

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How long after Accutane can you start laser?

Laser hair removal is a simple, noninvasive procedure, but to be safe, we typically advise patients to wait at least one month after their last Accutane treatment to get laser hair removal.

Why do you have to wait 6 months after Accutane?

It is generally best to avoid any procedure that causes trauma to the skin while taking Isotretinoin. Therefore it is best to wait at least 3 to 6 months until after you have completed the course.

How long after isotretinoin can I get laser hair removal?

The recommendations in standard books and drug insert require discontinuation of isotretinoin for 6 months before performing cosmetic procedures, including waxing, dermabrasion, chemical peels, laser procedures, or incisional and excisional cold-steel surgery.

How long after Accutane can you get CO2 laser?

Hence, there is no reason why you should wait 6 months or longer for your fractional CO2 laser treatment after finishing your Accutane treatment [1].

What happens if you get laser while on Accutane?

Traditionally, lasers are avoided in patients on oral isotretinoin treatment. Most of the treatment centers suggest that laser should be done approximately 6 months after stoppage of medication due to the belief that it may lead to scarring and delayed healing.

How long after Accutane can I get a facial?

Because Accutane can impact wound healing, we recommend avoiding any elective procedures (laser, microdermabrasion, facials anywhere other than under our care, chemical peels, cosmetic surgery, tattoos, piercings) while you are on the medication and for 6 months following the completion of therapy.

Can you get laser for acne scars while on Accutane?

In summary, yes you can have chemical peels and laser after Accutane, if it has been greater than 6 months.

Can I do CO2 laser while on Accutane?

Conclusion: Ablative CO2 fractional laser treatment for acne scarring seems to be safe regardless of isotretinoin use (10-60 mg/d).

Can you get laser hair removal on isotretinoin?

Laser hair removal is a safe procedure with alexandrite, diode, and Nd:YAG lasers in patients receiving systemic isotretinoin.

When can I get fraxel after Accutane?

How soon after finishing acne medication can I have Fraxel laser? Some studies show that laser treatment can be undertaken as early as one month afterwards, but in general, nonablative fractional laser therapy is deemed to be safest approximately 3 to 6 months after ceasing oral isotretinoin treatment.

How long after a chemical peel can you get a chemical peel?

The American Society for Dermatologic Surgery states that it is not recommended to have chemical peels within 6 months of being treated with Accutane.

What is the purpose of isotretinoin?

“Taken orally, Isotretinoin reduces the amount of sebum produced by your pores, changes how the skin differentiates and turns over, and inhibits the growth of the acne-causing bacteria , P. acnes ,” explains Dr. Hanson.

How long does it take for acne to go away after accutane?

Most patients are free of acne after 4 to 6 months of treatment. But can acne come back after accutane?

What factors determine if you will relapse after taking Accutane?

The factors that determine if you will relapse after Accutane: The severity of acne. Age of the patient. What food or drink Accutane was taken with. Dosage size of Accutane and length of the treatment. The gender of the patient. Whether or not the patient was on anti androgen treatment.

How many relapses are there after taking isotretinoin?

Accutane relapse rates in patients with acne after treatment with oral isotretinoin vary between 10% and 60%. In lower-dose treatment groups the acne relapse rate is around 47% compared with 27% in the high-dose group. So, in some cases, relapse rates can be quite high, and in other cases, they are quite rare in a several-year period.

What is the best treatment for acne?

Accutane (isotretinoin, Roaccutane, Claravis, etc) is one of the world’s most commonly prescribed acne treatments. A lot of people have turned to Accutane to clear their severe acne or acne that has been resistant to other treatment methods.

Why is isotretinoin used for acne?

One explanation might be due to the fact that isotretinoin is now used to treat patients with less severe acne. These cases respond extremely well, and then patients expect to remain clear, whereas the initial cohorts of patients had severe disease and were less concerned by the resurgence of a few spots.

Can you relapse after taking Accutane?

However, while Accutane is not always a sure thing solution, and relapse after Accutane may occur (it is usually less severe), it does offer patients a much longer remission time than other treatment options available to them, sometimes several years.

Can isotretinoin be taken on an empty stomach?

As the oral bioavailability of oral isotretinoin is variable and highly dependent on administration with food, it's likely that earlier relapse may occur if patients often took isotretinoin on an empty stomach, thus leading to lesser actual cumulative drug exposure despite the daily dose administered.

What is the 7 day window for Accutane?

The “7 day window” signals the time you are eligible to receive your Accutane prescription. In the 7 day window four steps must be completed: Get your blood work done. Have your appointment with your doctor. Complete your questions in the I-pledge system. You must enter the two forms of birth control you are using.

How to get a birth control prescription?

The “7 day window” signals the time you are eligible to receive your Accutane prescription. In the 7 day window four steps must be completed: 1 Get your blood work done. 2 Have your appointment with your doctor. 3 Complete your questions in the I-pledge system. You must enter the two forms of birth control you are using. You can only answer your questions after your doctor has entered your test results into the I-pledge system. 4 Pick-up your prescription from the pharmacy. Bring your I-pledge card with you to the pharmacy so the pharmacy staff can complete their questions on I-pledge.

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