5'9, 160lbs, male, 30mg, is 3 months enough wait for alarplasty & lower blepharoplasty?

Question

I have been on accutane for 2 months as a 5'9, 160lb male. I have stopped taking it for 2 weeks now as I want to get plastic surgery in ~3 months. I was at a 30mg dose, which is below the minimum threshold of 0.5mg per kg. I want to get an alarplasty and lower blepharoplasty in one sitting and am wondering if 3 months is enough to wait. I don't want to wait 6 months as it also seems unnecessary, since that's for full large dose accutane treatments not below-minimum doses.

Donald B. Yoo, MD, FACS · Answer

For lower blepharoplasty performed through the back of the eyelid (transconjunctival) surgery can be performed safely at any time as Accutane does not put you at any greater risk of scarring for this approach. For alar base reduction and alarplasty, 2 months is a sufficient interval to discontinue Accutane prior to surgery for there to be no appreciable risk in increased scarring. More important than the use or discontinuation of Accutane for scarring will be the design and execution of the alar base incisions and proper post-operative care.

5'9, 160lbs, male, 30mg, is 3 months enough wait for alarplasty & lower blepharoplasty?

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