I'm on a low dose of accutane 10mg per day. Will VBeam laser treatment for a broken blood vessel on nose be a problem?

Vbeam laser is an excellent modality for patients who have rosacea, blushing of the skin, facial and body telangiectasia, spider veins, redness, post surgical redness, and skin flushing. It is a safe procedure that can be used at varying depths to help treat micro blood vessels in the skin. We also use it in our office for facial skin inflammation, keloids, and hypertrophic scarring. It is an important part of scar therapy. Vbeam can be combined with chemical peels and other lasers, but experience with the treatment is essential. The Vbeam laser does not affect deeper tissue. Schedule a consultation with an expert in Vbeam and you will find it to be an excellent modality for many skin types.

Best,
Dr. Karamanoukian
Realself100 Surgeon

In most cases, physicians recommend waiting six months or longer after the last dose of Accutane before seeking additional treatments. However, the low dose you are one may be perfectly safe to combine with a Vbeam treatment. I recommend scheduling an in-person assessment with a board-certified dermatologist with expertise using the Vbeam device. After a complete examination, your doctor should be able to determine whether Vbeam is safe for you now or you should wait additional time before undergoing the treatment. 

you can get lasers while on Accutane, I avoid ablative lasers and deep peels
Acne requires a combination approach to get long term improvement.  For all patients on isotretinoin, we require them to be on skin care such as vitamin C, glycolic cream, kojic acid serums in the morning and retinols and salicylic acid at night.   All of our patients get clear+brilliant non ablative laser along with a microsecond YAG laser such as aerolase or laser genesis and microneedling with PRP or microneelding RF like intensif or fractora monthly to help improve breakouts, speed the healing process, and improve scarring and facial redness while on the isotretinoin/accutane.  LED light therapy, cosmelan/enlighten peels, salt facial or dermalinfusion can be done as well to speed up the improvement. I sugges tyou go to an expert who combines skin care, lasers, microneedling, PRP, and facials while on oral medications for acne.  Best, Dr. Emer.

I suspect that the treatment would be safe although the accepted response would be to wait for 6 months following cessation of the isotretoin.  A test spot would provide evidence of safety.  Ask your treating physician if a test spot could be done.