How long do I have to wait after microneedling before starting Accutane?

Question

I had a session of micro needling done for some stretch marks I have (needle length: 2mm, so on the longer side). I’m planned to start taking Accutane soon, albeit a low dose (10 mg daily). Just wondering how long I should wait after my microneedling session before I can start my Accutane treatment? Thanks in advance!

Raffy Karamanoukian, MD, FACS · Answer

Accutane is a go-to medication for patients with recalcitrant cystic acne. It can reduce pore size and also reduce sebum production in your skin, making it less oily; and in turn, dryer. Accutane can be used to control acne, but patients receiving the medication should be carefully monitored. In terms of skincare, always wear an appropriate sunscreen and reduce direct sun exposure. In my patients, I recommend a good ceramide moisturizer such as Elevase whenever they are on Accutane. This will keep the skin hydrated and reduce the oiliness of the skin that is associated with oil-based moisturizers.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Anna Chacon, MD, FAAD · Answer

Microneedling and Accutane (isotretinoin) are both treatments that can have significant effects on the skin. Microneedling is a procedure that creates tiny punctures in the skin to stimulate collagen production, while Accutane is a powerful medication used to treat severe acne.
Accutane can make the skin more sensitive and slow down the healing process. Therefore, it is generally recommended to wait until your skin has fully healed from the microneedling before starting Accutane. This could take anywhere from a few days to a few weeks, depending on how your skin reacts to the microneedling.
Additionally, it's generally advised to avoid any kind of skin procedures, including microneedling, while on Accutane and for a certain period after finishing the medication due to the increased risk of scarring.
Ultimately, the timing should be determined in consultation with your healthcare provider. They can assess your skin's healing process and provide the most appropriate advice based on your individual situation.

How long do I have to wait after microneedling before starting Accutane?

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