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Accutane and Rhinoplasty

asked 2 years ago by Michelle Vasquez in Ohio
Latest answer by William Portuese, MD
Question viewed 262 times
I was hoping to have a rhinoplasty procedure done in the fall, I'm thinking for an alar base reduction but I've not had a consultation. The problem is, I have an ethnic nose with thick, oily nasal skin. As of right now, I am using Differin but I was wondering if using Accutane would thin out my skin before surgery to help my doctor achieve the best results. For rhinoplasty surgery in my case, would it be more beneficial to start using Accutane before or after my rhinoplasty?

7 answers to Accutane and Rhinoplasty

+1

Accutane and Rhinoplasty

The use of Accutane would be  beneficial before rhinoplasty on a patient with thick oily skin. As other surgeons have stated, wait 6-12 months after medical therapy before having surgery. Having said that, there is some debate about the use of this drug because of potential complications with Accutane therapy. Discuss this with the physician prescribing the medication.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

+1

Accutane and rhinoplasty

While Accutane may indeed lower the oiliness of the skin, it will not thin the dermis. The indication for Accutane is for control of severe acne and it should be used only for that purpose. It is probably best to start your Accutane after the rhinoplasty procedure.
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

Accutane and rhinoplasty

The use of accutane and having any surgery is really contraindicated until the Accutane is stopped.  Usually you have to wait 6 months to 1 year after ceasing use of Accutane. It can impair wound healing.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Accutane and scarring

Unless we are looking at an emergency trauma type operation I would recommend waiting at least 6 months and probably a year after being off Accutane.  For things like laser or dermabrasion you may even want to wait 18 months to allow the sebaceous glands to return to normal.  While it is great for acne it is bad for wound healing. Don't go on accutane before a rhinoplasty especially if you are having an alar base resection.
Steven Schuster, MD

Boca Raton Plastic Surgeon

www.schusterplasticsurgery.com

+1

Accutane and Rhinoplasty

Hi,  Using Accutane before your surgery may help thin your skin and decrease the oiliness.  You must wait at least 6 to 12 months after discontinuing your Accutane before having surgery. Good luck and be well. Dr. P
Michael A. Persky, MD

Los Angeles Facial Plastic Surgeon
+1

Accutane and Rhinoplasty

ANY surgery whether a rhinoplasty of a skin lesion excision are CONTRA INDICATED with the use of Accutane. This  is due to severe scar formation. From MIAMI DR. B
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Accutane may delay rhinoplasty

Accutane is a very powerful medication that can slow the healing process. Many surgeons will advise waiting 6 months to a year after going off Accutane before performing elective facial plastic surgery. If you are planning to have alar base reduction this fall, then you might want to wait until after the procedure before trying Accutane. Good luck!
Yael Halaas, MD

Manhattan Facial Plastic Surgeon

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