What can I do to prevent an ear cartilage pierced before starting Accutane from scarring? (photos)

Question

I got my ear cartilage pierced over 3 months before starting Accutane, but now that I've been on it for 2 weeks, it has stopped healing properly (getting very dry and a little swollen - bump). Now that I have to increase the dosage, I'm afraid it will just get worse. What (cream, ointment, oil...) can I use to help it heal properly and not get a keloid scar?

Nikki D. Hill, MD, FAAD · Answer

Hi mgracia.pino,Healing appropriately while on isotretinoin (generic accutane) is always a concern. It is difficult to know if this is something called granulation tissue which is exagerrated healing scar tissue or if you are developing a thick scar called a hypertrophic scar.  I commonly see this with ear and nose piercings. Cartilage can become inflamed and increase scar tissue formation.  A dermatologist can feel the bump to assess its consistency.  Sometimes a tiny bit of steroid injected into that little bump can calm things down.  Until then, keep it clean with regular soap and water and covered in vaseline all day.  No alcohol, no peroxide, and try not to sleep on that side to reduce irritation.  If it becomes painful or drains constantly you may need to make sure infection isn't an issue.

What can I do to prevent an ear cartilage pierced before starting Accutane from scarring? (photos)

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What can I do to prevent an ear cartilage pierced before starting Accutane from scarring? (photos)

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Everything you need to know about Accutane

Our mission is to create a world where every investment in modern beauty is Worth It.