When Can I Have Blepharoplasty After Being off Accutane?

Accutane should typically not interfere with the surgeries you are contemplating after a period of 6 months to one year.
The main reason Accutane is dangerous is for laser resurfacing; the laser is very prone to burning the skin of patients who have recently undergone Accutane. The pilosebaceous units have been dried up from laser and the heat from the laser tends to be absorbed by other adjacent tissues, causing burns.
Accutane may also inhibit reepithelialization. Better to wait six months before your proposed surgeries to be safe.

The consensus regarding this issue is that Accutane impairs healing and that one should wait at least 6 months. However, there are no good studies or evidence backing this waiting period regarding eyelid surgery or rhinoplasty and Accutane. The thickness of the skin and the location of the incisions may also be important factors in the length of this waiting period. However, It is always better to error on the side of caution.

Accutane is know to produce a dry eye. You are still early in your treatment with the Accutane, and it is possible that your treating dermatologist will recommend extending your treatment course.
Generally, the dry eye symptoms improve a couple of months after the Accutane treatment. However, there are reported cases of severe dry eye following Accutane treatment that lasted for two years. For this reason, blepharoplasty should be postponed following your course of Accutane until your general ophthalmologist is satisfied that your eyes are making sufficient tears, and that surgery does not represent an undue risk.
For a similar reason, refractive surgery should be approached with caution following a course of Accutane.

Accutane inhibits epithelialization by suppressing adnexal structures. Thus, invasive surgeries are contraindicated during Accutane therapy. I regularly manage patients requesting surgery while on Accutane.
I advise patients to wait 6 months after cessation of any amount of Accutane before undergoing any surgery. Thus, the ability to heal will be re-established.
This holds true, especially for blepharoplasty and rhinoplasty, two very important parts of the face.

In general, you should wait at least 6 months to a year after taking Accutane to have elective surgery - especially on the face. However, some recommend even waiting up to three years. Unless there is some urgency for your surgery, it would be best to hold off. It would be a shame to have an unfortunate outcome on an elective procedure. Good luck.

The general recommendations are to be off Accutane for ATLEAST 6 months prior to having any surgery or cutting on the skin. Some say you should be off of it for a year prior to undergoing any elective surgery.

Just remember, this is an elective surgery and you want to be certain that any factors that can affect your surgery are not in the equation.

Also make certain that you are seeing a board certified Plastic Surgery.

Hope that helps.

Ideally, you should be off accutane 12 months prior to surgery. Consult with 2 -3 board certified plastic surgeons in your area to see if it would be possible to proceed before this time.

Accutane is a very powerful drug and one I highly recommend for anyone getting acne scars.  It is, however, known to greatly affect the skins ability to heal from certain injuries.  Healing from abrasions, laser resurfacing, and chemical peels is very much a problem while on and for many months after accutane use becuase accutane greatly reduces the number of epidermal cells available to re-cover your skin's surface.

Incisional surgery is different.  The healing ability is not greatly affected by accutane, but I would still wait a few months.  In my opinion, a more significant concern would be the dry eye potential as both accutane and blepharoplasty can cause this.

It is probably best to be off Accutane for at least three to four months prior to embarking on eyelid surgery (blepharoplasty) or nasal surgery.
 

As an opthalmologist and oculo plastic surgeon, I suggest that you consider waiting 12 months. This will allow your body to recovery from dryness and delayed wound healing brought on by Accutane use.