How long should I be off Accutane before revision rhinoplasty surgery?

I am a 28 male, 6'1, 190lbs.  I just completed a 5 month cycle of Accutane 40mg/60mg/80mg/80mg/80mg.  How long do I have to wait to have Revision Rhinoplasty including nostril revision due to Alarplasty complications after my first Rhinoplasty over 2 years ago. I have met with 3 Plastic Surgeons and they have all said that they would perform surgery after 1 Month off Accutane, while the Dermatologist is "recommending" 6 months. I want to have surgery ASAP.  What do you think?

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8 answers to “How long should I be off Accutane...”

A: Rhinoplasty and Accutane

C. Spencer Cochran, MD

Any patient taking Accutane should not undergo any sort of resurfacing procedures for a minimum of 6 months after completing therapy. There have been reports in the medical literature of excessive scarring in accutane patients who underwent resurfacing. The literature is less clear about surgical scarring,... more

A: Accutane

Steven H. Schuster, MD

Dear John I am always concerned when taking care of a patient who has been on accutane. Depending upon the type of surgery I will adjust the amount of time a patient will be off the drug. For any type of skin resurfacing I recommend 1 year off accutane while for elective surgery such as liposuction or breast... more

A: Depends on amount of revision to be done

William Portuese, MD

It is probably a good idea to be off Accutane for three to six months before embarking on a rhinoplasty. There are many different opinions on this without any scientific basis, but your rhinoplasty surgeon just does not wish to have a complication from Accutane. It really depends on the amount of revision... more

A: Accutane and Revision Rhinoplasty

Daniel Reichner, MD

The consensus regarding this issue is that Accutane impairs healing and that one should wait 6 to 12 months. However, there are no good studies or evidence backing this waiting period regarding Rhinoplasty and Accutane. The thickness of the nasal skin and the location of the incisions may also be an important... more

A: Depends on if you had any previous damage to skin from previous rhinoplasty

Peyman Solieman, MD

As you are aware by now, accutane can be quite abrasive to the skin. Also previous rhinoplasty, further complicates your procedure because if the previous sirgeon was not operating in the correct plane, it is possible to cause damage to the skin and scar tissue. Based on the response you've had from your... more

A: Wait at least 6 months after stopping Accutane before having any facial surgery

Brooke R. Seckel, MD

John Doe, I agree with your dermatologist. Accutane inhibits the growth and function of sebacious gland cells in your skin. After any surgical skin incision, healing and the growth of new skin cells comes from new cells created by the sebacious glands on your facial skin. If your sebacious glands are inhibited... more

A: How Long After Accutane is it Okay to Have Nasal Surgery?

Michael A. Persky, MD

Hi John Doe, I once knew a John Doe.  You should wait at least 6 to 12 months after stopping your Accutane before having surgery.  You may want to choose your rhinoplasty surgeon most carefully, especially if you are told that it is okay to have your surgery one month after stopping your... more

A: I would wait a minimum of 1 year.

Toby G. Mayer, MD

Patients who have been on Accutane may have problems with healing. Therefore, I would error on the safe side especially since this is a revision. "For some the birds don't always sing"

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Revision rhinoplasty before & after photos

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