Is it ok to have electrocautery or RF, or a linear scar revision on the chest while on Accutane?

I would advise you to proceed with caution for any of those procedures.  Your risk of scarring is higher and why take any chances if the excision and other procedures are not too much of an emergency for you?  It would be unfortunate if you did anything elective and then had scarring and prolonged healing.  Good luck and I hope you have excellent success with your accutane therapy!

Thank you for your question, when you're on Accutane any treatment or excision can take slightly longer to heal. If you're getting a small lesion treated with electrocautery then this should heal, but there's not guarantee.
I highly recommend my patients to hold off until their Accutane course is completed. If the procedure is due to health concerns then it is best to discontinue Accutane for that time period. I would recommend for you to hold off having these procedures and discuss it with the physician in charge of your care in order to make the appropriate decision. 
I hope this helps.
Regards,
Sheetal Sapra, MD, FRCPC

Hello and thank you for your question. When taking Accutane, your chance for scarring is higher with procedures. With elective procedures, I would recommend waiting until your body clears of the medication. I also recommend consulting with a board certified dermatologist for evaluation of your skin and discussion of appropriate treatment. Best of luck.