Regular Member singh Posted August 19, 2023 Regular Member Share Posted August 19, 2023 Really want to move from topical tretinoin to Accutane to permanently get rid of my acne but I’ve read online that accutane must not be taken before skin re grafting or hair transplants. What’s the logic behind this and what’s a safe timeline? Link to comment Share on other sites More sharing options...
Valued Contributor A_4_Archan Posted August 19, 2023 Valued Contributor Share Posted August 19, 2023 @singh Isotretinoin has some side effects and some of them can have its effects on hair transplant so generally doctors advice to perform surgery 6 months after the discontinuation of the drug...though there can be a possibility of varying opinions on this and your doctor should be the only source of advice for you in such things...as he/she is the one who will be responsible for everything related to surgery Check Out My Hair Transplant Journey --> My Thread 3611 FUE Grafts With Dr Kongkiat Laorwong | Norwood 5 | 2nd May 2023 Link to comment Share on other sites More sharing options...
Senior Member HappyMan2021 Posted August 19, 2023 Senior Member Share Posted August 19, 2023 (edited) 3 hours ago, singh said: Really want to move from topical tretinoin to Accutane to permanently get rid of my acne but I’ve read online that accutane must not be taken before skin re grafting or hair transplants. What’s the logic behind this and what’s a safe timeline? personally I have no clue, but this is the type of deeply technical question that only a trained medical professional can answer. You should ask both your dermatologist and your hair transplant doctor. Hopefully their answers are very similar so you can be confident in the explanation. If the dermatologist and HT doc both come back with very different answers, idk I guess reach out to even more MDs Accutane is a very very very powerful medication and significantly impacts your skin. You may not like the answers you hear, but at the same time you may simply not be able to have it both ways. It may indeed be very risky to be on this super powerful skin medication and simultaneously get a surgery that is doing some heavy duty stuff to your scalp. Edited August 19, 2023 by HappyMan2021 Link to comment Share on other sites More sharing options...
Regular Member GeneralNorwood Posted August 19, 2023 Regular Member Share Posted August 19, 2023 3 hours ago, singh said: Really want to move from topical tretinoin to Accutane to permanently get rid of my acne but I’ve read online that accutane must not be taken before skin re grafting or hair transplants. What’s the logic behind this and what’s a safe timeline? Tretinoin is first generation retinoid, so it is the oldest one. Currently we have four generations. There is Adapalene - third generation retinoid that is less irritating then tretinoin and can be used safely with benzoyl peroxide. Tretinoin can't be used with benzoyl peroxide, because tretinoin is not so stable. You can buy Adapalene and benzoyl peroxide seperately or as a mix - this is called Epiduo. I was using tretinoin for half year, but it was to irritating for me and i recently switched to Adapalene + benzoyl peroxide. 1 My first Hair Transplant - Eugenix 3514 Grafts (720 grafts on the temples) - Dr Priyadarshini Das Link to comment Share on other sites More sharing options...
Regular Member singh Posted August 20, 2023 Author Regular Member Share Posted August 20, 2023 7 hours ago, GeneralNorwood said: Tretinoin is first generation retinoid, so it is the oldest one. Currently we have four generations. There is Adapalene - third generation retinoid that is less irritating then tretinoin and can be used safely with benzoyl peroxide. Tretinoin can't be used with benzoyl peroxide, because tretinoin is not so stable. You can buy Adapalene and benzoyl peroxide seperately or as a mix - this is called Epiduo. I was using tretinoin for half year, but it was to irritating for me and i recently switched to Adapalene + benzoyl peroxide. luckily for me tret 0.05% suits my skin and i can use it every night without irritation. i use a ton of my prescribed moisturizer from my derm. i do have genetic acne due to high androgens, so the only way for me to get rid of acne and not have to apply this everyday is by doing a course of accutane Link to comment Share on other sites More sharing options...
nok Posted November 20, 2023 Share Posted November 20, 2023 On 8/20/2023 at 12:05 AM, singh said: luckily for me tret 0.05% suits my skin and i can use it every night without irritation. i use a ton of my prescribed moisturizer from my derm. i do have genetic acne due to high androgens, so the only way for me to get rid of acne and not have to apply this everyday is by doing a course of accutane I am in the same situation as you. If you get any useful info on this please lmk! Link to comment Share on other sites More sharing options...
Senior Member duchaine Posted November 20, 2023 Senior Member Share Posted November 20, 2023 On 8/19/2023 at 8:11 PM, singh said: Really want to move from topical tretinoin to Accutane to permanently get rid of my acne but I’ve read online that accutane must not be taken before skin re grafting or hair transplants. What’s the logic behind this and what’s a safe timeline? Is it true for topical tretinoine too? Link to comment Share on other sites More sharing options...
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