Accutane and Rhinoplasty

I was hoping to have a rhinoplasty procedure done in the fall, I'm thinking for an alar base reduction but I've not had a consultation. The problem is, I have an ethnic nose with thick, oily nasal skin. As of right now, I am using Differin but I was wondering if using Accutane would thin out my skin before surgery to help my doctor achieve the best results. For rhinoplasty surgery in my case, would it be more beneficial to start using Accutane before or after my rhinoplasty?

Doctor Answers 8

Accutane and Rhinoplasty

In general, I do not like to perform chemical peel and facial resurfacing on patients that have been on Accutane electively for at least 6 months and for over a year especially as this can cause excessive scarring. I would wait at least 3-6 months for operative procedures as this can impair wound healing significantly.

Dallas Plastic Surgeon
5.0 out of 5 stars 64 reviews

Accutane and rhinoplasty

While Accutane may indeed lower the oiliness of the skin, it will not thin the dermis. The indication for Accutane is for control of severe acne and it should be used only for that purpose. It is probably best to start your Accutane after the rhinoplasty procedure.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 145 reviews

Accutane and rhinoplasty

The use of accutane and having any surgery is really contraindicated until the Accutane is stopped.  Usually you have to wait 6 months to 1 year after ceasing use of Accutane. It can impair wound healing.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Accutane and Rhinoplasty

The use of Accutane would be  beneficial before rhinoplasty on a patient with thick oily skin. As other surgeons have stated, wait 6-12 months after medical therapy before having surgery. Having said that, there is some debate about the use of this drug because of potential complications with Accutane therapy. Discuss this with the physician prescribing the medication.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 39 reviews

Accutane and scarring

Unless we are looking at an emergency trauma type operation I would recommend waiting at least 6 months and probably a year after being off Accutane.  For things like laser or dermabrasion you may even want to wait 18 months to allow the sebaceous glands to return to normal.  While it is great for acne it is bad for wound healing. Don't go on accutane before a rhinoplasty especially if you are having an alar base resection.

Steven Schuster, MD, FACS
Boca Raton Plastic Surgeon
4.0 out of 5 stars 8 reviews

Accutane and Rhinoplasty


Using Accutane before your surgery may help thin your skin and decrease the oiliness.  You must wait at least 6 to 12 months after discontinuing your Accutane before having surgery.

Good luck and be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

Accutane and Rhinoplasty

ANY surgery whether a rhinoplasty of a skin lesion excision are CONTRA INDICATED with the use of Accutane. This  is due to severe scar formation.


Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

Accutane may delay rhinoplasty

Accutane is a very powerful medication that can slow the healing process.  Many surgeons will advise waiting 6 months to a year after going off Accutane before performing elective facial plastic surgery.  If you are planning to have alar base reduction this fall, then you might want to wait until after the procedure before trying Accutane.  Good luck!

Yael Halaas, MD
Manhattan Facial Plastic Surgeon
4.8 out of 5 stars 42 reviews

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.