I take Roacutan/Accutane and want to do a liposuction (PAL) on local anaesthesia, is this ok?

Question

I take Roacutan/Accutane and want to do a liposuction (PAL) local anaesthesia, the doctor assistant said is ok to do it and continue with the pill. I am afraid because I read some threads that it is not ok at all and I should wait a whole year until I do any treatment. Should I get another doctor? I did not pay yet and I am scared now.

Ryan Neinstein, MD, FRCSC · Answer

Thanks for the question, I recently had a case and spoke with a local chief of dermatology here in New York and they felt that only two weeks off of the medication was necessary to prevent any wound healing problems!

Dallas Buchanan, MD · Answer

Thank you for your questions. With elective cosmetic surgery, it is always better to be safe. If you are on a temporary medication like that which could potentially cause problems, it is always best to just wait and postpone the surgery until you are in the best condition possible. Hope this helps!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

Itzhak Nir, MD, FACS · Answer

I would not have surgery, electively, while on Accutane. Stop it for 6-12 months prior to any elective surgery.

Robert L. Kraft, MD, FACS · Answer

You should not undergo any surgery until after being off Accutane for 6-12 months. There are serious risks of which the doctor’s assistant may be ignorant.

David Finkle, MD · Answer

Well, if you feel like getting scared, get online and read about the potential side effects of Accutane.  This is a very powerful drug with a lot of very serious potential side effects.  Here is a direct quote from one source:Wax epilation and skin resurfacing procedures (such as dermabrasion, laser) should be avoided during Accutane (isotretinoin) therapy and for at least 6 months thereafter due to the possibility of scarring.I would delay any surgical procedure until 6 months after your last Accutane dose.Good Luck!

Ven Erella, MD · Answer

Thank you for your question. I usually recommend to avoid surgery 6 months, as it can cause severe inflammation and scarring which can affect your outcome

Darryl J. Blinski, MD · Answer

First ask your prescribing dermatologist if OK to have invasive surgery which any lipo is! I would decline you as a safe patient until 6-12 months off of any of these pills. The risks of severe scarring, fibrosis internally under skin is so very high that you must be very careful..

Daniel Zeichner, MD · Answer

Hi and welcome to our forum!
Accutane has an adverse effect upon wound healing with increased inflammation, resulting in greater scarring. It is recommended that you not undergo any type of elective surgery while taking accutane and for at least 6 months thereafter to prevent wound healing problems.
Best wishes...

I take Roacutan/Accutane and want to do a liposuction (PAL) on local anaesthesia, is this ok?

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