Can I do a rhinoplasty after taking Accutane (20mg) for a month and a half?

I have been wanting to do a rhinoplasty since I was 20 (I am 31 yrs now) This summer is the perfect timing to do it. However, I have been on Accutane (20mg) for a month and a half now and I just learned that I should wait at least 6- 12 months before surgery. I stopped the treatment today hoping to schedule a rhinoplasty in early August. which means I will be off Accutane for 2 months and 10 days. Would that still be risky & lead to serious complications? Is there a blood test I can take?

Doctor Answers 6

Accutane and surgery

Accutane affects the healing of skin since it shrinks the sweat glands. In my opinion, it would have nothing to do with wound healing after a rhinoplasty.  I know my opinion is opposite to the other one you have been given, but the surgery is actually not on the skin, but on the bones and cartilage of your nose. All incisions are in mucosa , so I doubt that the Accutane will affect the nasal surgery.

New York Plastic Surgeon
4.1 out of 5 stars 11 reviews

Can I do a rhinoplasty after taking Accutane (20mg) for a month and a half?

    You should wait 6 to 12 months after the drug has been discontinued.

Kenneth Hughes, MD

Los Angeles, CA

Accutane and rhinoplasty

You need to be off accutane for at least 6 months to a year because it is a powerful drug that can impair wound healing.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

Rhinoplasty after Taking Accutane for 6 Weeks

Accutane is a powerful and effective medication for the treatment of acne, but it can also interfere with normal healing after surgery involving the skin. I strongly advise patients to avoid potential complications folllowing an elective cosmetic procedure; having said that I tell my patients to delay rhinoplasty surgery for 6-12 months after accutane therapy.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Accutane and Rhinoplasty

It is dangerous to have any skin procedure after taking Accutane as it decreases the ability of the skin to heal. The rhinoplasty would go just fine but then you could get skin necrosis (a loss of skin). 
It is best wait for one whole year and nothing less. 
Dr. J

Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 89 reviews

Accutane and any surgery

Accutane is a powerful and effective medicine that will not only reduce acne but will also impede the skins ability to heal.  I have performed rhinoplasty on thicker skin individuals who had been off accutane for several months and had taken more that 6 months of the medicine.  I would prefer not to operate on someone who has taken a recent course of accutane for obvious reasons.  I think that since you have waited so many years to have your rhinoplasty surgery performed, it would be better to give yourself a few more months of accutane free time in order to insure the surgical outcome your rhinoplasty surgeon is trying to achieve.  There is no blood test I am aware of and it really is not about the level of accutane in your system, but rather the status of the glands in your skin.

Philip S. Schoenfeld, MD, FACS
Chevy Chase Facial Plastic Surgeon
4.6 out of 5 stars 23 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.