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Since elective surgery is just that, elective, I'd recommend that you wait until you are off the medication. This is a comprehensive list of things to avoid but notice that surgery is not on the list:Do not take vitamin supplements containing vitamin A while you are taking Accutane.Do not donate blood while taking Accutane and for at least 30 days after you stop taking it. Donated blood that is later given to pregnant woman could lead to birth defects in her baby if the blood contains any level of Accutane.Do not use wax hair removers or have dermabrasion or laser skin treatments while you are taking Accutane and for at least 6 months after you stop taking it. Scarring may result.Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Accutane can make your skin more sensitive to sunlight and sunburn may result. Accutane may impair your vision, especially at night. Be careful if you drive or do anything that requires you to see clearly.Serious side effects:depressed mood, trouble concentrating, sleep problems, crying spells, aggression or agitation, changes in behavior, hallucinations, thoughts of suicide or hurting yourself;sudden numbness or weakness, especially on one side of the body;blurred vision, sudden and severe headache or pain behind your eyes, sometimes with vomiting;hearing problems, hearing loss, or ringing in your ears;seizure (convulsions);severe pain in your upper stomach spreading to your back, nausea and vomiting, fast heart rate;loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);severe diarrhea, rectal bleeding, black, bloody, or tarry stools;fever, chills, body aches, flu symptoms, purple spots under your skin, easy bruising or bleeding;severe blistering, peeling, and red skin rash; orjoint stiffness, bone pain or fracture.Less serious Accutane side effects may include:joint pain, back pain;feeling dizzy, drowsy, or nervous;dryness of the lips, mouth, nose, or skin; orcracking or peeling skin, itching, rash, changes in your fingernails or toenails.
Using an antibacterial cleanser could assist in clearing your skin. If it persists the next step would be to contact a dermatologist.
Breast augmentation with implants or fat transfer may be an option for you. The cost varies from region to region but expect costs to range between $5 to $12K depending on what you desire and where you are seeking it. Best of luck
Nipple Position is a precise measurement that is made prior to surgery. Most likely your swelling is contributing to some displacement of your nipples and shifting one of the nipples farther out than the other. In my experience, patients evaluate themselves too early after surgery....
