Have acne scar treatments a year after Accutane

Don Mehrabi, MD answers: When can I get Laser or Chemical treatment for acne scars after Accutane?

I am another victim of nodular acne, and thanks to Accutane, that problem was taken care of. Except for the scars.

I don't have a large amount of them, but I have several large ones, and a very noticeable one on the right side of my nose. So I am obviously looking to get a laser treatment/surgery for this. Now I have been told many different lengths of time to wait, I have heard 6 months, 2 years, and a couple other opinions.

But I never did finish my treatment of Accutane, as I only took it for 2 and a half months, as it was making me lose hair at a speedy rate. So does that still mean I should wait 6 months or 2 years? Or does that mean that maybe I could have it done sooner? My acne is very small now, and there are no more cysts, I just have these scars that haunt me. Please help.

Editor's Note: See related question, Accutane cures Acne but leaves Scars


Don Mehrabi, MD
9 months ago

Thanks for your question.

I understand that you had been on Accutane for only a couple months, and did not finish the full course. But, it is generally advised to wait one year after any Accutane treatment before pursuing any kind of elective surgery or laser surgery. Of course, there are many variables, namely, what type of procedure you plan on doing (ablative laser, nonablative laser, microdermabrasion, chemical peels, etc). Any procedure that causes bleeding or scabbing must be done after waiting a minimum of one year post accutane.

In my opinion, a fractional CO2 laser (fractional ablative) is probably the best laser treatment for acne scarring. There are others such as the Fraxel and Palomar (fractional nonablative), but you get the most bang for your buck from the fractional CO2. To do this laser, I would strongly recommend waiting at least one year after accutane.

Hope this helps!

2 of 2 found this helpful
Helpful?
Post your question

Accutane: 47 reviews

80% said it was worth it

Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.