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Preferably it would be best to wait for an elective procedure such as ear piercing while on accutane. healing can be impaired with the potential for a worse scar or even a keloid. I recommend to wait a few months after accutane as this is not a life or death procedure.
Thank you for your question. A common side effect of Accutane is an increase risk in scarring, so during treatment and few months after therapy, no skin trauma is recommended, which includes piercings, tattoos, waxing, surgeries, laser treatment, chemical peels, microneedling, etc. I highly recommend you consult with a board certified dermatologist regarding any further questions. Take care and good luck.