Hi
The issue of treating acne scars with lasers or other forms of phototherapy while on Accutane has always been the perceived increased risk of wound healing and scarring.
However recent consensus studies on this issue does not seem to indicate that there is an increase risk while the relative conservative approach on this has been the fear of medico legal issues should complications arise.
I personally have used both ablative lasers like CO2 and non ablative lasers to treat such patients with no complications .
However it is worth mentioning that the doctor should also take into consideration the skin type of the patient as well as the existing skin condition and the dosage of Accutane before deciding on whether to proceed with a laser based treatment .
In cases whereby the laser based treatments micro needle RF are contraindicated one can consider the use of a kinetic energy based device like Enerjet to treat the scars.
There have also been instances of doctors using Rejuran for scar treatments who have reported good outcomes .
Ultimately I feel that it would have to be a decision that has to be made by both the doctor and patient as to what modality of treatment would be acceptable and result in the best outcome after the consultation.
Hope this helps.
Regards
Dr Chew
