I finished a 6 month course of Accutane about 3 weeks ago and began using Retin-A last week for maintenance. I am scheduled for a rhinoplasty/septoplasty in a little over a week and would like to know if and when I should stop using Retin-A prior to the procedure, and resume after?
Retin-A Before and After Rhinoplasty
Doctor Answers (6)
Accutane And Rhinoplasty
If you completed your Accutane treatment just 3 weeks ago, cancel your scheduled septorhinoplasty. Wait at least 6-9 months before having the surgery.
If you completed your course of Accutane 3 weeks ago, then I would recommend that you postpone your Rhinoplasty for approximately one year. This is what I tell all of my Accutane using patients and believe it is the standard of care...looks like my colleagues in this thread agree. Your wound healing and scarring capacity are significantly affected by the mechanism of action of the accutane...GREAT on acne, BAD on surgical scars.
Tretinoin & Accutane should be discontinued before Rhinoplasty or elective Facial surgery
As other cosmetic surgeons have stated, one should not have elective facial surgery for at least a year or more after stoppiing Accutane, brand name for isotretinoin. On the other hand, Retina-A, a brand name for tretinoin, which is a different drug, may be discontinued a few weeks before surgery. One must disclose all medications to their plastic surgeon before cosmetic surgery. Speak with your rhinoplasty surgeon to help determine appropriate options. Best of luck.
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No Elective Surgery for 9 to 12 Months After Accutane Treatment
Cancel your surgery! You should not have elective surgery for at least 9 to 12 months after Accutane treatment. Retin-A can be stopped about one week before a procedure. Good luck and be well.
Accutane 3 weeks Before Rhinoplasty? Bad Idea
If you finished your Accutane 3 weeks ago, your Rhinoplasty should be postponed for about a year. Accutane inhibits the ability of the skin to heal properly; if you have not disclosed this fact to your Surgeon, it's time to get on the phone. In my practice, the intake sheet specifically asks if a patient has been on Accutane in the last year in order to prevent mishaps.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.