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Can I Have Liposuction While I'm Taking Accutane?
Asked 39 months ago by
Reetha in Montreal, Quebec, Canada
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Accutane and Liposuction
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No elective surgery during Accutane
Definitely no liposuction or any kind of elective surgery while on Accutane. Isotretinoin (Accutane) tends to make wound healing somewhat more challenging by creating greater inflammation, and possibly hypertrophic scarring. You may want to postpone elective surgery for 6 months after completion of Accutane.
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Liposuction with Accutane Treatment
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Accutane and Liposuction Don't Mix Well
Accutane is a wonderful medication, but it can be pretty hard on the liver. In fact, one of the main side effects seen in many people who take the medication is alteration of liver function enzymes. We check these regularly when someone is taking Accutane.
The safest way to perform liposuction is to use the tumescent technique, or injection of large amounts of dilute local anesthetic solution. Lidocaine is the anesthetic used. Lidocaine can be toxic if high amounts are in the body. ...
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If does not feel totally right, wait and do it later
Accutane is a powerful medication with strong side effects related to skin regeneration. Liposuction should be safe from that stand point but I would be worried about general anesthesia. In my practice, I would rather wait but I would also involve my anesthesiologist and the patient's internist in this decision. The liver function tests will come back in general higher which will create some controversy.
If I learned one thing from my training and practice: if does not feel totally...
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Accutane and surgery
The greatest concern with Accutane, as it pertains to cosmetic procedures, is its effect on skin regeneration. Accutane decreases the body's ability to regenerate or regrow skin. So, procedures that strip or burn off the skin, like laser skin resurfacing or chemical peeling, should be avoided for at least 1 year after stopping the drug. Accutane also has effects on the liver, which is the organ that processes the anesthetic used during liposuction. This might cause a greater risk of...
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You should be off Accutane before having surgery
Accutane has numerous effects on the body, and it requires monitoring. Not only is the liver affected, but the skin and subcutaneous tissue has changes. It can alter you response to surgery and anesthesia. Your best bet is to finish your course of accutane and then consider surgery after 2-3 months. This is the amount of time the Accutane can remain active in your system.
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Stop First, Then Go
Because of it's effects on fat metabolism as well as the potential to induce depression, I believe it is unwise for a patient to consider Liposuction or other cosmetic surgery while simultaneously treating with Accutane. Mild but temporary depression after successful cosmetic surgery, including Liposuction, is normal. However, any medication such as Accutane that may increase that tendency should be avoided or discontinued prior to the surgery, or the surgery itself should be postponed....
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No, I would not recommend it.
Accutane affects every organ in the body, especially the liver. The lidocaine tumescent solution injected during the liposuction to numb up the fat layer is filtered threw the liver as well as any IV sedation meds given during the surgery. Even tho the risk of problems is very little when either accutane is prescribed or liposuction is done alone, the combined effect could be dangerous. I would wait 2-3 months after off accutane to do the liposuction and get a blood test to make sure the...
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In general, I would not recommend doing it!
Accutane affects the way skin heals after injury. As liposuction is done for cosmetic reasons, the margin for complications has to be very small. In general, I recommend patient wait 6 to 12 months, after being off accutane, before I perform an invasive procedure. There are always exceptions, but I do believe in minimizing risk where possible.