Thank you for your question. A side effect of Roaccutane is skin sensitivity and an increase risks of scarring if any trauma or injury is done to the skin, which includes cosmetic procedures such as chemical peels, microdermabrasions, laser treatments, tattoos, or piercings, etc. Even at a low dose, the side effects may affect your skin and getting a tattoos while taking Roaccutane may result in scars or keloids. I highly recommend you consult with your prescribing physician regarding your questions and concerns. Take care and good luck.