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One should wait at least 6 months after accutane therapy before having a Fraxel treatment. Accutane changes the way skin heals and it is safest to recover before having laser treatment or surgery. If surgery is unavoidable, it may be performed but special precautions should be observed. Ask your surgeon.
If you have non-ablative (such as Fraxel Restore) you can usually safely have that laser 6 months after Accutane treatment, if you have ablative (such as Fraxel Repair) you should wait 12 months.
12 months waiting period after completion of isotretinoin (Accutane) for laser resurfacing, dermabrasion, or chemical peel has been a dogma in cosmetic dermatology. However, more and more physicians have experience in performing fractionated laser resurfacing such as Fractional CO2 Laser Resurfacing 6 months after completion of isotretinoin. The key is to work with an experienced board-certified dermatologist to make sure that you are a good candidate prior to procedure and to manage post-op wound care.
After using accutane, I would recommend waiting at least 6 months. This medication changes your skin's ability to heal. Due to this, it is important to recover after accutane before having any type of laser or surgery. If surgery is necessary, it may be performed but special precautions should be taken. Be sure to find a board certified physician to evaluate your skin for laser treatments.
No, you cannot use the Fraxel laser while undergoing Accutane treatment because the healing process is compromised while on Accutane. I recommend to my patients that they wait one month after completion of the Accutane course for treatment with the Fraxel re:store or the Fraxel re:pair.