Hi! Currenly on 10mg of accutance p/day. My local dermatologist said its perfectly fine to do a course of 3 fraxel treatments while on accutance to treat my large pores / acne scars. Is he right? It seems everywhere says to avoid fraxel untill at least a year after accutane. Maybe due to my low dosage its okay? What are possible risks? Thanks in advance :)
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April 19, 2010
Answer: Accutane and Fraxel
Ron Shelton, MDDermatologic Surgeon, Board Certified in Dermatology
We have used both the SmoothBeam and Fraxel Restore lasers for years and the Fraxel Restore is excellent at reducing pore size. SmoothBeam laser works great on acne but it does not stimulate collagen as well as Fraxel and therefore does not shrink pores or reduce wrinkles as well.
You should check with your doctor who is treating you if you can resume your Retin-A. Your skin can react differently depending on the treatment levels used by your doctor. You may need to avoid the medicine for a week after the Fraxel and not use it for a week or more prior to the Fraxel and...
You didn't mention how many days ago you had the treatment. Bronzing usually lasts about five days, sometimes less, sometimes more, after Restore. It does depend on the energy settings used. You should see your doctor who performed the treatment to examine you and recommend the best aftercare.