Dermabrasion for Thin, Scarred Skin After Taking Accutane?

Question

I've been taking accutane for 9 days(2 months ago)I don't know what happend, but my skin become thin, and very fragile.Now I have some texture changes like very shallow rolling scars(about 0.2-0.5 mm depth)can this scars be leveled with skin and what is the best method for this type of scarring?I must say that scars are soft and nontethering.also,when can i do any type of treatment, since my skin is very poor healing and i have redmarks for months and prior Accutane never had this problem! help!

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. .

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Stephen Prendiville, MD · Answer

Accutane leads to an atrophy of sebaceous glands within the skin, leading to a delay of or problems with healing when injury has occurred. Any form of resurfacing is contraindicated for 1 year after a course of Accutane. After 1 year, your options for acne scarring would include Dermabrasion and fractionated CO2 laser resurfacing.

Otto Joseph Placik, MD · Answer

Technically, once you have started Accutane, you should avoid resurfacing procedures for a minimum of 6 months after the procedure while others have advised 12 months to minimize the risk of hypertrophic scarring.

Darryl J. Blinski, MD · Answer

NO! Very dangerous to think about dermabrasion if soon after taking Acutane. Read the contraindications and precautions concerning Acutane.

Dermabrasion for Thin, Scarred Skin After Taking Accutane?

Answers (4)