Sclerotherapy While on Accutane?

No issues with combining accutane and sclero unless you have tissue breakdown.   definitely dont use accutane and  lasers together.

Accutane will slow the rate of wound healing, but should not affect sclerotherapy treatments.  Always go to a diplomate of the American Board of Phlebology (Vein Surgery) for your treatments.

It’s not a problem getting injections for sclerotherapy while on Accutane but you cannot get any form of laser treatments while you’re on Accutane. In fact, we ask that you are off of Accutane for atleast 6 months before getting any type of laser treatments.

I perform a lot of sclerotherapy.  The big concern is that some of the solution may leak out of the vein, and result in a wound.  Accutane will not affect the vein or the injection, but may have some potential to inhibit healing should a wound develop. sek

Rarely, sclerotherapy can cause an ulcer if the sclerosant liquid leaks into the skin rather than stay in the vessel. If that happens, the healing would be significantly delayed if on Accutane. For certain, laser is a definite "no", but I'd say if the doctor has done it before for you, and is very experienced, the chances of a problem are very small.

I agree fully with Dr. Oppenheim, that injection sclerotherapy should not be a problem in patients on accutane, while laser sclerotherapy is best avoided for 6 months after discontinuation of Accutane because of the increased risk of scarring.  

I do not see a problem with injection sclerotherapy. A fine needle would not deliver much trauma to the skin. However, I would wait six months after you have competed your course of Accutane before laser sclerotherapy. The laser traces the vessels rather than a single injection point. An occasional patient develops severe scarring since the skin sometimes does not repair itself as well while a person is on Accutane.