When considering the timing of starting Accutane (isotretinoin) in relation to cosmetic surgeries such as liposuction, breast fat transfer, and a tummy tuck, it is important to prioritize healing and minimize the risk of scarring. Accutane can affect skin healing and increase the risk of scarring. Therefore, it is generally recommended to complete any surgical procedures before starting Accutane. After surgery, it is advisable to wait until you are fully healed before beginning Accutane. This healing period can vary depending on the type and extent of the surgery, but a common recommendation is to wait at least 6 to 12 months post-surgery before starting Accutane. This allows your body ample time to heal and reduces the risk of complications related to wound healing and scarring. If you are considering starting Accutane before undergoing surgery, it is typically advised to complete the Accutane course and allow a washout period of at least 6 months before proceeding with any elective surgeries. This precaution helps ensure that your skin has returned to its normal healing capacity. Ultimately, the best course of action is to consult with both your dermatologist and plastic surgeon. They can provide personalized guidance based on your specific health profile, the nature of the surgeries, and your skincare needs.