Being three months off Accutane is encouraging, and you’re right that recommendations around piercings after isotretinoin have evolved. The old rule to avoid all procedures for six months after stopping treatment is not supported by strong evidence for every type of procedure. However, piercing-specific safety data are limited, so it’s difficult to say that a vertical labret piercing is completely risk-free at this point. Accutane can cause significant dryness and irritation of the lips and skin, and these effects may persist for a while after treatment. If your lips are still very dry, cracked, inflamed, or sensitive, I’d recommend waiting until they have fully recovered. A vertical labret passes through the lip tissue, so potential complications include delayed healing, infection, excessive scarring, irritation, and jewelry rejection or migration. If your lips are completely back to normal, your risk may be lower, but three months alone doesn’t guarantee that healing will be uncomplicated. Before proceeding, consider discussing your treatment history with your dermatologist and choosing an experienced, reputable piercer who follows strict sterile techniques and uses appropriate, implant-grade jewelry. My advice: You’re not necessarily “screwed over,” but I wouldn’t base the decision on the three-month mark alone. The condition of your lips, your Accutane dose and treatment course, and your individual healing history all matter. If you decide to proceed, follow the piercer’s aftercare instructions carefully and seek medical attention if you develop worsening swelling, spreading redness, increasing pain, pus, or fever.