Thank you for the question.
While on isotretinoin, the skin is more dry and sensitive. This makes it more easily irritated with certain products and procedures.
There are many different types of facial. While it may be possible to go for a facial, it is important that this should be a gentle facial that will not further aggravate or irritate the skin, which can sometimes lead to facial eczema or flare of acne.
Similarly, extraction of comedones or blackheads can be done while on isotretinoin, but this should be done properly and with proper technique to minimize residual scarring following the procedure.