Fraxel laser while on 20 mg of Isotretinoin?

I am one of the very few doctors who will do laser treatments while patients are on isotretinoin.  There is new literature that suggests improved wound healing and scarring results when light laser resurfacing is done and it speeds up the process of the isotretinoin.  But this has to be done by an expert, with the right skin protection and laser training.  Studies from the 1980s suggested poor wound healing after laser while on isotretinoin, but that has not been seen in my practice of 9 years doing this.  Other "safer" options include viva (RF), microneedling/PRP, and clear + brilliant (lower density/energy fractional). Best, Dr. Emer.

Fraxel is currently contraindicated while on Accutane and for one year after completion of the medication.  Please consult a board certified dermatologist with expertise in Fraxel.