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Permanent Damage from Sunburn While on Accutane?

I've been on Accutane for about 3 months. Unfortunately, I got badly sunburned last week while playing golf. To make matters worse, I went running this morning in pants. Now my legs have many small blisters or little air pockets! What should I do? Have I caused permanent damage?

Asked 33 months ago by newburystreet in Boston, Mass

Read my review "Accutane- Sunburn- Little Blisters"

Sort 8 expert answers by:
+1

Sunburn 2nd degree - usually no permanent damage

Accutane can make your skin more sensitive to sun light. A second degree sunburn (blisters) usually does not lead to permanent damage. However, there may be a risk of darker pigmentation. See your dermatologist for an evaluation.
Robert Kasten, MD
Mainz Dermatologic Surgeon
+1

Permanent damage from sunburn on accutane

Sunburn typically doesn't scar, whether it is on accutane or not.  When you are outdoors apply at least SPF-30 as soon as you get sweaty or every 30 minutes, whichever comes first.  Try to golf in the early morning when the sun is not so direct and intense.
Daniel J. Ladd Jr., DO
Austin Dermatologist
+1

Accutane and acne scars

Caution should be exercised while on Accutane.  Accutane works on the pilosebaceous unit and decreases the body's ability to epithelialize a wound during treatment. Avoid deep sunburns and trauma while on accutane. 
Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon
+1

Not Permanent

   There is nothing special about a sun burn while on Accutane and one while you are not on Accutane. Accutane does lower your threshold for sunburns.   For sunburns I like alternating Biafine (which was developed in France for radiation dermatitis) and a mid strength corticosteroid. If the sunburn is severe, then an intramuscular injection of steroids would be beneficial. Aspirin, due to its anit-inflammatory properties also helps.    Next... more
Arnold R. Oppenheim, MD
Virginia Beach Dermatologist
+1

Permanent scarring from sunburn while on Accutane unlikely

Your description does not sound like it will lead to permanent scarring. Obviously you need to take great care to avoid the sun while you have the sunburn, but if you take care of yourself and remain out of the sun for the next week or so, you should heal fine. In the future you need to be more diligent about covering yourself while outside. Use A minimum 30 sunscreen applied multiple times daily when outside. Use full body coverage for your clothes, linen, cotton and other light fabrics... more
Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
+1

Most sunburns from Accutane won't cause permanent damage

Sunburns are common while on accutane but rarely cause any permanent damage.  Use a good cortisone lotion several times a day to help resolve the sunburn as well as take aspirin or advil for the anti inflammatory effects and pain relief and see your doctor. 
David Hansen, MD
Beverly Hills Dermatologic Surgeon
+1

Be careful with Accutane and sun damage

While scarring due to surgery and other procedures is increased while taking Isotretinoin (and for six months afterwards), it does not sound like your sunburn is severe enough to cause scarring. I would highly recommend using a sunscreen on a daily basis with at least an SPF of 30 or higher. When you know that you'll be in the sun (i.e., when golfing) apply a sunscreen with an SPF of 45 or higher and reapply every 2 hours. In the meantime, for your current sunburn, apply a heavy... more
Chad L. Prather, MD
Baton Rouge Dermatologist
+1

Sunburn more likely when on Accutane or oral antibiotics for acne

Both Accutane and oral antibiotics for acne can make you more prone to have sunburn. Consistent daily sun protection and reapplying high SPF sunscreen every 2 hours between 10am-4pm when outdoors are critical. You may experience prolonged post-inflammatory redness or pigmentation after a sunburn which will slowly fade with frequent emollient application and adherence to daily sun protection. Unfortunately, every sunburn makes you more prone to develop skin cancers such as melanoma.... more
William Ting, MD
Bay Area Dermatologic Surgeon
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