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Pseudonym from Singapore asked a question

Can I undergo fractional C02 or Infini treatment while on low dose Isotretinoin?

I'm 28 and undergoing fractional C02 and Infini for my acne scars. I have cystic acne along my jawline, and my dermatologist has recommended that I start on low dose accutane 5mg/day while on the laser treatment. I would like to find out if low dose accutane will affect the healing from the laser, or cause more scarring?

DOCTOR’S ANSWER (2)
Dr Justin Boey
Aesthetic
Singapore
(15 Ratings)
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Dr Justin Boey
Aesthetic
Singapore
(15 Ratings)
Answered on Mon Jun 18 2018 09:28:34 GMT+0000 (UTC)

Dear Pseudonym,

This is a very good question. The answer is: Yes. It is safe to do lasers like fractional co2 or infini even while on Accutane.

The latest research published in February 2018 concluded that "a 6-month delay is not necessary for all procedures".

A US research study published in Dec 2017 proved the safety of non-ablative fractional laser (NAFL) 1 month after stopping Isotretinoin - "All patients demonstrated normal wound healing post NAFL treatments, and neither hypertrophic scars nor keloids were observed. Acne scar improvement was satisfactory." There is no increased risk of scarring. 

This latest research supersedes the older guidelines of waiting 6 months post-accutane for Laser procedure.

This is a Game-changer because there is no longer a need to delay Acne scar Laser treatments. 

Treating Acne Scars early will Definitely give you better final results.

In my experience, I find that my patients who are on low dose isotretinoin will have mild skin dryness. This might worsen after laser treatments. My suggestion is to increase the frequency and amount of moisturiser after Laser. Hope that this helps!

Best regards,

Dr Justin Boey

0 1100 views 0 Doctors agree Mon Jun 18 2018 09:28:34 GMT+0000 (UTC)
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Dr Jiwei Wu
Aesthetic
Singapore
(3 Ratings)
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Dr Jiwei Wu
Aesthetic
Singapore
(3 Ratings)
Answered on Mon Jun 18 2018 09:48:16 GMT+0000 (UTC)

Hello pseudonym 

Previously doctors were hesitant to do laser/ peels on patients on accutane due to the potential risk of scarring and delayed wound healing. However these teachings were based on 3 small case series in the 1980s.

There are studies done in recent years that show insufficient evidence to support delaying treatments such as chemical peels, non-ablative lasers or fractional ablative lasers on patients receiving accutane treatment. (Isotretinoin and Timing of Procedural Interventions: A Systematic Review With Consensus Recommendations; 2017 Aug 1)

It is safe to do fractional ablative laser (CO2) or Infini while you are on accutane. Hope this helps!

Regards, 

Dr Jiwei Wu 

0 1094 views 0 Doctors agree Mon Jun 18 2018 09:48:16 GMT+0000 (UTC)
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