Juvederm Injection for Naso Labial While on Accutane?

There has been no report I know of that discusses true risk of scarring with fillers and Accutane. Fillers are not the same risk as resurfacing the skin, and the possibility of scarring after resurfacing because of Accutane is being requestioned.  It might be fine to do the filler before the Accutane but one conern of the Accutane therapy is that some people become excessively dry and chapped. If you developed tiny skin fissures or cracks that are superficially raw, you may develop more surface bacteria on your skin and increase the risk of the filler becoming infected, so for this reason, you might not be able to get the filler during the treatment.

Thank you for your question and for sharing your concern. For dermal fillers like Restylane or Juvederm, I would not recommend waiting any period of time after stopping Accutane or even while on Accutane. This would be very different if I was combining dermal filler's with any energy device that requires your body's ability to heal.

You should have your Juvederm injections a few weeks before starting Accutane to prevent any potential inflammation, infection or bumps.  I would advise waiting at least 3 months after discontinuing Accutane before having Juvederm because your skin will be very sensitive.   Better to be careful than sorry.

There’s no evidence that patients on Accutane need to stop using it when on Juvederm. Juvederm doesn’t require skin healing like a topical laser. When you do a topical laser, you do need to stop the Accutane because the skin needs to rejuvenate itself first. That’s not the situation with injectable fillers that go underneath the skin.

I would personally have no problem injecting a patient on accutane.  Your risk is minimal.

 

Dr. Malouf

should be expected. For a successful treatment for laugh lines on the side of the mouth further treatment like subcision may be necessary.

Hello and thank you for the question.

The risk of scarring while on Accutane is significant and well documented. While I am not aware of any associated untoward effects of undergoing injectable filler treatments while on Accutane, I wouldn't recommend undergoing such a treatment. My suggestion would be to undergo your Juverderm trreatment several weeks prior to commencing the Accutane Treatment.

Best,

Glenn Vallecillos, M.D., F.A.C.S.

The risk of scarring with Juvederm injections is exceedingly small in and of itself.

Accutane does alter skin's behavior.  There is a much greater possibility of scarring on Accutane.  No one knows at what point in Accutane therapy that becomes the case. 

I recommend doing the injections 2-3 weeks prior to starting Accutane.

Accutane has been reported to cause problems with wound healing-- patients who are on accutane may develop excessive scarring after procedures. Although it is not common to develop thick scars, I do not think it is worth the risk. I would recommend to do the filler first, then begin the accutane.  In my dermatologic practice, I do not perform any fillers or laser procedures on patients while they are on accutane.

I tshould be okay to have juvederm injections while on accutane. Accutane treatment becomes more of an issue with surgery or laser ablation treatments.