Hello fell9302, I wouldnt recommend getting any surgery on Accutane, in fact it is best to avoid surgery until you have stopped it for at least 6 months. If you run a search online you will notice that scarring is notorious while patients are on it, this is because it interferes with how the skin heals. This goes for any procedure that violates the skin including peels and resurfacing too. Obviously if you were going for an emergency procedure the benefits outweigh the risk, but in this case you are going for an elective procedure, the risk of complications with the wound healing will really offset the lovely results you expect. So my advice is wait, then wait some more. (One of the surgeons that trained me used to ask his patients to come back in 1 year!) best of luck, This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion.The information provided should not be relied upon as a substitute for consultations with a qualified health professional.