Accutane after rhinoplasty | Isotretinoin
Isotretinoin or Accutane (commercial brand) is a common drug used to treat acne. Cystic and resistant pimples and acne, usually due to; Hormonal changes, high fat secretion, enlargement of skin pores, closing of pores or rapid multiplication of bacteria occur. Many cosmetic surgery applicants are young and undergoing treatment with isotretinoin (Accutane). Since the use of any drug should be considered before surgery, the interaction between isotretinoin and rhinoplasty is a question for many clients, which we have explained in this article.
What is Accutane ?
Accutane is a brand name drug containing isotretinoin, a derivative of vitamin A, which is taken in both oral and topical forms. High doses of vitamin A in this medicine help to improve and eradicate pimples and acne resistant to antibiotics or other topical treatments. However, due to the many side effects and effects of this drug on the liver and kidneys, isotretinoin should be used only with a specialist’s prescription. Isotretinoin is never recommended for concomitant rhinoplasty for the following reasons.
Uses of isotretinoin
In addition to treating chronic, cystic, and refractory acne, isotretinoin has other uses, including:
- Prevention or treatment of some skin cancers such as squamous cell carcinoma
- Improves problems with folliculitis (subcutaneous hair), such as rosacea
- Treatment of flat and recurrent skin warts
- Eliminate pores and blackheads on the nose
- Thinning the skin of the nose using a topical form of the drug
Accutane side effects
Consumption of oral R Isotretinoin due to systemic release has several effects on body tissues, especially damaged parts. These complications include the following:
- Lips dryness
- Eyes dryness
- Skin itching
- Itching of mucous tissue
- Hypersensitivity and allergies
- Dryness, redness and debridement of the skin
- Delayed wound healing and skin damage
- Dryness of mucous structures such as the mouth and nose
- Hyperglycemia, which lowers the immune system and restorative power
- Increased risk of skin scarring or excess flesh, especially in cases where a graft has been performed
Isotretinoin and rhinoplasty
The use of oral Accutane or Isotretinoin should be stopped for at least 6 months after any cosmetic surgery, especially nasal surgery. Some researchers also believe that the use of this drug is prohibited for two years after rhinoplasty because the cartilage and mucous tissue of the nose have not yet found their final structure. According to patient studies, people who started taking isotretinoin between 7 and 24 months after rhinoplasty developed deformity of the nose tip and a change in its cartilaginous structure. The cause of this complication is the shrinkage of the skin and the change in the structure of the nose tip. Therefore, the use of Isotretinoin should be at least 6 months apart from rhinoplasty or any surgery that involves cutting deep layers of the skin, such as deep exfoliation and laser treatment.
Side effects of Isotretinoin on rhinoplasty
- Increase skin repair time
- Create scars or extra flesh
- Tilt the tip of the nose
- Protrusion and bulging of the skin graft
- Deformation of the soft tissue of the tip of the nose
- Take Isotretinoin before rhinoplasty
According to the FDA recommendation, rhinoplasty is allowed 6 months after stopping Isotretinoin. There are three main reasons for the interaction between Isotretinoin and rhinoplasty:
- Damage to the skin due to dryness
- Bleeding in mucous tissues
- Increased risk of depression following the use of Isotretinoin, which delays nasal repair. Performing any surgery, especially cosmetic type, is stressful and requires a strong spirit and immune system.
Does Accutane help rhinoplasty swelling?
In people whose skin on the nose is rough and thick due to the cartilaginous or fleshy structure of the nose, after a period of 6 to 1 year after the prohibition of isotretinoin after nasal surgery, isotretinoin can be used to reduce swelling and excess fat on the nose. The advantage of this small work is that the nose looks smaller, the skin becomes thinner and the pores of the nose are reduced.
Treatment of acne after rhinoplasty
There are more effective and less risky ways to reduce swelling, fat and thickening of the nasal skin after surgery. After surgery, in most people, the secretion of fat on the nose increases and the pores close due to the presence of plaster, dressing or adhesive. This can cause pimples on or around the nose. In many cases, the surgeon prescribes corticosteroid injections, which in addition to reducing swelling, help thin and shine the skin of the nose and have fewer side effects than taking isotretinoin.
Tips for using isotretinoin
- Be sure to tell your doctor about all your medications before surgery
- Patients treated with isotretinoin should have regular liver and kidney function tests.
source : tarahteb.com