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Thank you for your question about whether or not to get a chemical peel while on isotretinoin.Chemical peels and other skin procedures such as waxing, microdermabrasion, extractions, and tattooing are NOT advised during treatment with isotretinoin and for several months (up to six months) after completion of treatment. The main risk associated with these procedures too soon after treatment with isotretinoin is the risk of permanent scarring. To be sure you are being treated appropriately, see two or more experienced, licensed and board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps.
Patients taking isotretinoin should avoid any aggressive treatments for quite some time after stopping the medication. Your treating doctor will be your best guide and I would recommend that you consult with her/him before doing even home level peels.Please don't take this caution lightly; and don't allow a spa to perform a peel, even if they tell you it is safe.Your skin will NOT react to chemical peels or other treatments the way it would have before you took this medication.
It alters the stem cells in the skin. This has a long term effect on skin healing. For this reason, chemical peels are a very bad idea for quite some time after isotretinoin. Some doctors wait 1 or 2 years before considering a chemical peel. Also be aware that if you have relatively dark skin, peels can permanent hypo pigment the skin.
I would avoid chemical peels while you are taking Accutane. Please consult an expert. Best, Dr. Green
