Accutane (isotretinoin) does not directly affect breast implants or contribute to capsular contracture. However, Accutane is known for its potent effects on skin and healing, which is why it is generally recommended to avoid it for a period before and after any surgical procedure. Most surgeons advise waiting at least 6 months after completing a course of Accutane before undergoing elective surgery, including breast augmentation, to ensure optimal healing and minimize the risk of complications. Similarly, if you've recently had breast augmentation, it's typically recommended to wait until your surgeon confirms that your healing process is complete and stable before starting Accutane. Capsular contracture, a condition where scar tissue forms around the implant causing it to harden, is influenced by various factors, but Accutane is not known to be one of them. If you are considering starting Accutane and have concerns about your breast implants, it is best to discuss this with your surgeon or dermatologist to ensure a safe and coordinated approach to your treatment.