Revision Rhinoplasty: Q&A
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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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24 Doctor Answers |
Asked by
John Doe
in Los Angeles, CA
+2
Revision rhinoplsty and Accutane
Hi John,
The medical literature has plenty of evidence suggesting you would be best served to wait at least 6-12 months following stopping the Accutane before you undergo revision surgery.
It is better to be safe and conservative to avoid unwanted sequale and complications.
Good Luck,
Dr. Sajjadian
+2
Wait at least 6 months after stopping Accutane before having any facial surgery
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 from producing new skin cells, then your skin healing will be delayed.
Doctors may want to argue the point but the most widely accepted recommendation is that you wait six months after...
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Accutane and Rhinoplasty Surgery
Follow the recommendations of your dermatologist. Accutane can significantly affect the natural healing cycle at the cellular level. You should delay surgery for at least 6 months prior to rhinoplasty. Patience is a virtue in this case!!
Lexington Facial Plastic Surgeon
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How long after stopping Accutane can I have Revision Rhinoplasty
I would have a patient wait for at least 6 months and 12 months is preferrable after completeing Accutane. Accutane has been shown to possibly increase scar tissue formation which is an issue with Rhinoplasty and even more so with revision Rhinoplasty. IMHO, better safe than sorry....I'd wait longer than 1 month and stick with the 6-12 month rule that i have followed for over 20 years of performing Rhinoplasty.
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Wait to do any kind of surgery for 6-12months
Accutane is a wonderful drug. Wound healing during and after its use have been a problem. It is going to be a while before all the cysts have settled out and your skin is in its improved state. Protect from the sun, moisturize and wait.
You will want to make an appointment to speak with a Board Certified Plastic Surgeon to get further information. I hope this information has been useful to you.
Jon I Sattler, MD, Board Certified Plastic Surgeon, Glendora, California
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COSMETIC SURGERY AND ACCUTANE - WAIT 6 MONTHS
The standard recommendations are to be off accutane for at least 6 months.
don't forget you want the best results, so you need the best healing possible.
Dr. Carlos Cordoba
MDCM, CSPQ, FRCS, FACS
Plastic & Esthetic Surgeon
4055 Ste-Catherine O. Suite 100
Montreal, QC. Canada H3Z 3J8
514-932-7667
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Accutane and Revision Rhinoplasty
Accutane is a drug which inhibits wound healing and most surgeons and dermatologist recommend waiting six to twelve months after stopping it before having any elective surgical procedure. I understand your desire to have your initial procedure revised as soon as possible, but you must also focus on getting the best result from your revision surgery. If your body is not able to heal the skin properly, you may end up with visible scars or wound breakdown that will compromise the...
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STOP! How long to wait after stopping Accutane!
Listen to your dermatologist! I would not operate on you for the world in less than 6 months after Accutane. Dermatologists are the ones that prescribe accutane all the time. Listen to them!
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Accutane and Rhinoplasty Surgery
You should wait at least six to twelve months following the discontinuation of your Accutane treatment before you have any type of facial surgery. It is safest to wait before having any surgical procedures if at all possible due to potential healing issues with the Accutane. When considering elective surgery you want to maximize your odds of healing as much as possible.
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Accutane and Revision Rhinopalsty
Since this is an elective procedure it is always best to minimize the risks. Having a revision rhinoplasty within 6-12 months of stopping accutane would be a risk. It could negatively affect wound healing. It would be in your best interest to wait. When we have cases like this, I often will work together with the Dermatologist to come up with the safest plan.
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Accutane and Rhinoplasty
There is no consensus on the amount of time required to be off of Accutane in relationship to rhinoplasty. Almost all of the studies have looked at Accutane's effects on wound healing after resurfacing procedures.
One study by authors Allen and Rhee examined the effects of patients who used Accutane AFTER rhinoplasty. They found three patients who used Accutane had significant nasal tip issues after rhinoplasty.
Your best bet is to be seen by...
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Accutane and surgery - Revision rhinoplasty and nose jobs
Accutane should be discontinued for at least 6 months before undergoing surgery of any kind. Accutane impairs skin reepithelialization and may impair your body's ability to heal after surgery.
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Science behind Accutane and wound healing
Actually, there is some science behind Accutane (systemic isotretinoin) and wound healing. Contrary to the opinions of some of my colleagues, this has been studied in several instances and is published in the literature. Here's what we know SCIENTIFICALLY:
1) Accutane can profoundly delay re-epithelialization after resurfacing procedures (peels, dermabrasion, laser). Patients should be free of the medicine for 6 months first.
2) Accutane does NOT significantly affect:
*...
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Wait approximately 6-12 months before your revision rhinoplasty
Patients who are currently using Accutane should wait approximately 6-12 months after they've completed their treatment before receiving surgery. Be sure that you notify your surgeon about this medication and all others as they will need to inform you as to how these medicines can affect your healing process.
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Off Accutane prior to surgery
Accutane has a negative effect on scar and healing and you should be off of it for a year before undergoing your surgery. Wanting surgery ASAP will not make it any less of a risk.
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Revision rhinoplasty after Accutane treatment
Accutane can have profound effects on wound healing. We typically wait recommending at least one year after a patient has finished accutane before considering having any surgical procedures that are elective in nature including a procedure as complex as rhinoplasty.
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Rhinoplasty should be postponed at least 6 months after stopping Accutane
You should wait at least 6 months since you stop your Accutane treatment before you have any type of facial surgery. You may do just fine if you had surgery earlier than that but this is the safest way to go. When considering elective surgery you want to maximize your odds of healing well and not take risks. Good luck!
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Rhinoplasty and Accutane
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, but avoiding any trauma to your tissue would be the safest course of action.
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Accutane
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 augmentation or rhinoplasty I would wait at least six month to get the best healing results.
You have lived with your nose for many years and I would imagine that an extra few months of...
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Depends on amount of revision to be done
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 rhinoplasty the patient is considering undergoing. If it is just an alarplasty, that can be done one month after you are off the Accutane.
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Accutane and Revision Rhinoplasty
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 factors in the length of this waiting period. However, It is always better to error on the side of caution.
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Depends on if you had any previous damage to skin from previous rhinoplasty
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 surgeons, I suspect that they feel that the skin envelope around your nose is not damaged and does not have lots of scar tissue. As such, you would probably be safe in proceeding with...
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How Long After Accutane is it Okay to Have Nasal Surgery?
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 Accutane.
Send my regards to the rest of the Doe's. Good luck and be well.
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I would wait a minimum of 1 year.
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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