Can I Get a Chemical Peel Before Accutane?

Yes- try a few very light Glycolic peels. I usually start my patients with %20, then $25%, %30 and maybe even %50 glycolic peels. Please do it in a doctors office. In addition you should use SPF 30 and a bleaching cream (2% Hydroquinone). These treatments are safe even while on Accutane.

One of the best peels for melasma is the Vi Peel which has a small amount of phenol and ingredient that is very helpful for treating unwanted dark marks.  Let your skin recover for at least 2 weeks before starting isotretioin (Accutane).  It would be best to get the peel in a board-certified dermatologist's office if you are considering getting Accutane after.  Good luck!

Superficial Peeling agents, when not overly aggressive, are fine to use during Isotretinoin (Accutane) treatment-- my preferred or your condition being Jessner's Solution or Salicylic Acid.  Make sure the peels are performed by in a Board Certified Physicians office by an experienced practitioner.

Deeper peeling with medium depth peeling agents-- combination peels, often using TCA or phenol- should be allowed to fully heal prior to starting Isotretinoin, normally about 2 weeks.