ASDS Guidelines Task Force: Consensus Recommendations Regarding the Safety of Lasers, Dermabrasion, Chemical Peels, Energy Devices, and Skin Surgery during and after Isotretinoin Use

Abigail Waldman, Diana Bolotin, Kenneth A. Arndt, Jeffrey S. Dover, Roy G. Geronemus, Anne Chapas, Sanjana Iyengar, Suzanne L. Kilmer, Andrew C. Krakowski, Naomi Lawrence, Heidi B. Prather, Thomas E. Rohrer, Bethanee J. Schlosser, John Y.S. Kim, Peter R. Shumaker, Leah K. Spring, Murad Alam*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

20 Scopus citations

Abstract

Background: Currently, the isotretinoin (13-cis-retinoic acid) package insert contains language advising the discontinuation of isotretinoin for 6 months before performing cosmetic procedures, including waxing, dermabrasion, chemical peels, laser procedures, or incisional and excisional cold-steel surgery. It is common practice to follow this standard because of concerns regarding reports of sporadic adverse events and increased risk of scarring. Objective: To develop expert consensus regarding the safety of skin procedures, including resurfacing, energy device treatments, and incisional and excisional procedures, in the setting of concurrent or recent isotretinoin use. Materials and Methods: The American Society for Dermatologic Surgery authorized a task force of content experts to review the evidence and provide guidance. First, data were extracted from the literature. This was followed by a clinical question review, a consensus Delphi process, and validation of the results by peer review. Results: The task force concluded that there is insufficient evidence to justify delaying treatment with superficial chemical peels and nonablative lasers, including hair removal lasers and lights, vascular lasers, and nonablative fractional devices for patients currently or recently exposed to isotretinoin. Superficial and focal dermabrasion may also be safe when performed by a well-trained clinician.

Original languageEnglish (US)
Pages (from-to)1249-1262
Number of pages14
JournalDermatologic Surgery
Volume43
Issue number10
DOIs
StatePublished - Oct 1 2017

ASJC Scopus subject areas

  • Surgery
  • Dermatology

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