I am 29-years-old and I have melasma on my cheeks and upper lip and I absolutley hate it, especially on my upper lip. I also am suffering from acne and would like to try Accutane. I know Accutane is usually a six month treatment and I would have to wait quite a while after for a chemical peel. My question is can I get a chemical peel to help the melasma before I start the Accutane, and if so how long between the two?
Can I Get a Chemical Peel Before Accutane?
Doctor Answers 3
Chemical Peels and Accutane
Superficial Peeling agents, when not overly aggressive, are fine to use during Isotretinoin (Accutane) treatment-- my preferred or your condition being Jessner's Solution or Salicylic Acid. Make sure the peels are performed by in a Board Certified Physicians office by an experienced practitioner.
Deeper peeling with medium depth peeling agents-- combination peels, often using TCA or phenol- should be allowed to fully heal prior to starting Isotretinoin, normally about 2 weeks.
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Chemical peel for melasma before Accutane
One of the best peels for melasma is the Vi Peel which has a small amount of phenol and ingredient that is very helpful for treating unwanted dark marks. Let your skin recover for at least 2 weeks before starting isotretioin (Accutane). It would be best to get the peel in a board-certified dermatologist's office if you are considering getting Accutane after. Good luck!
Yes- try a few very light Glycolic peels. I usually start my patients with %20, then $25%, %30 and maybe even %50 glycolic peels. Please do it in a doctors office. In addition you should use SPF 30 and a bleaching cream (2% Hydroquinone). These treatments are safe even while on Accutane.
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