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Thank you for your question.In general, we advise patients to avoid any unnecessary procedure for 6-12 months after doing Accutane. However, the main risk lies in those procedures that break the skin and cause bleeding, crusting, or scabbing. Gentle microdermabrasion doesn't break the skin, and if done GENTLY, should pose no risk to you. If done vigorously, then you might run into problems with bleeding, healing, and hyperpigmentation.Make sure to stress that you would like this done gently. Also, make sure that your skin is well-moisturized in order to avoid the likelihood of complications.Good luck!
Accutane makes the skin more fragile and we typically tell patients to avoid any laser procedures, including microdermabrasion, for at least 6 months. However, many microdermabrasion machines have adjustable levels and allow for a more gentle treatment. I would also be interested to know what dose of Accutane you took. Accutane is typically given according to a patient's weight, but often patients are on a lower (or sometimes higher) than usual dose. If you were on a low dose you may not have experienced significant skin fragility. You should see a physician who is very experienced with microdermabrasion, as every patient is different. You may be able to begin microdermabrasion treatments before 6 months have passed.