Sebaceous cyst removal and Accutane? (Photo)

Question

I have a huge sebaceous cyst right under my eyebrow that has not responded to three Cortizone injections. I have been on Accutane for 7 months. I am concerned about scarring and healing although I was already told it would leave a scar. One plastic surgeon told me it would be fine to continue taking the Accutane and another one wasn’t sure.

Anna Chacon, MD, FAAD · Answer

When considering the removal of a sebaceous cyst while on Accutane (isotretinoin), there are a few important factors to keep in mind. Accutane can affect wound healing and increase the risk of scarring, which is particularly significant for procedures involving the skin. This is why some healthcare professionals might express caution regarding surgical procedures during or immediately after Accutane treatment.

If the cyst is causing significant discomfort or cosmetic concern, it is crucial to discuss the risks and benefits with a dermatologist or a plastic surgeon experienced in handling such cases while on Accutane. They may recommend waiting for a period after completing your Accutane course before proceeding with the removal to minimize scarring risk.

Additionally, since you've mentioned that the cyst has not responded to cortisone injections, surgical removal might indeed be the next step. Make sure to consult with your healthcare provider to create a plan that considers your current treatment and optimizes the surgical outcome while minimizing potential complications.

Ultimately, the decision should be based on a thorough evaluation of your specific situation, considering both the urgency of removal and the timing relative to your Accutane therapy.

Sebaceous cyst removal and Accutane? (Photo)

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