How long after being off Accutane can you get a breast augmentation under the muscle?

Question

How long after being off of accutane can you get a BA UTM? Is there increased risk of scaring and capsular contracture?

Farbod Esmailian, MD · Answer

There has been a lot that has been published about healing and hypertrophic scarring while being on Accutane.  Most of the studies that I have found have been from skin resurfacing and not so much on surgeries where there is a clean incision made. I have not seen any good studies correlating the hypertrophic scarring as a result of being on Accutane and surgery.
Having said that, I personally want my patients off of the medication at least 3 months.  It is a risk to can be avoided and when having elective surgery, we should try to mitigate any potential risks.
Hope that helps.

Mario J. Samaha, MD · Answer

Hello and thank you for your question. It usually is recommend to wait at least 6 months from your last dose to perform elective surgery, as it could impact scaring and healing. Each plastic surgeon is different, so make sure to ask your plastic surgeon about his pre-op requirement. A clearance from your dermatologist could be needed. Hope this helps! Make sure to ask your plastic surgeon all your questions during your consultation!

Daniel Barrett, MD · Answer

Dear RB5552,
every plastic surgeon has his own preoperative protocol which he recommends to his patients. I would suggest you to discuss this with your plastic surgeon.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Leila Kasrai, MD, FRCSC · Answer

Generally speaking, it is best to wait at least 6 months after you’ve stopped taking Accutane before pursuing cosmetic surgery. However, please confirm this with your surgeon.

Connie Hiers, MD, FACS · Answer

I would suggest being off Accutane one month prior to surgery and not take for least another month. However, listen to what your surgeon tells you. You must be off at least one week to decrease the risk of blood pressure problems.

Camille Cash, MD · Answer

Your surgeon will advise on her/his policy, but it is best to be off Accutane for six months prior to having surgery.  There is much that is still unknown about capsular contracture, so it is best to err on the side of caution.  Your surgeon will advise you further based on your medical history and surgical plan.

Sergio Sanchez-Bailon, MD · Answer

The use of Accutane has been associated with poor healing overall, as you have already investigated. There’s info all over the internet with different suggestions. In my practice I advice my patients to wait 6 weeks at least for any surgery.

How long after being off Accutane can you get a breast augmentation under the muscle?

Answers (7)

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