Can I get Botox and dermal fillers while on Isotretinoin?

Hello,

Welcome to iCliniq.com.

I read your query and can understand your concern.

Here is a clear and evidence-informed answer regarding cosmetic procedures (like Botox or Dysport (abobotulinumtoxinA) and dermal fillers) while on Isotretinoin (Accutane):

You can safely get Botox or Dysport injections (including masseter Botox) while taking Isotretinoin. These are neuromodulators and work by affecting nerve signals to muscles. Isotretinoin does not interfere with this process and does not increase the risks associated with Botox or Dysport.

No significant contraindications are reported between Botox or Dysport and Isotretinoin. Minimal downtime and no skin trauma are involved in Botox, making it safe even on sensitive skin.

Dermal fillers, while on Isotretinoin, are more complex and somewhat controversial. Historically, it was advised to avoid dermal fillers while on Isotretinoin due to concerns about impaired healing, increased risk of scarring, and inflammation. However, newer studies and expert consensus suggest that hyaluronic acid fillers (like in the lips) may still be safe if proper precautions are taken.

Most dermatologists and aesthetic doctors still prefer to wait three to six months after stopping Isotretinoin before doing dermal fillers, especially in areas like the lips, where healing is delicate.

Some may proceed case-by-case, especially if you are on a low dose of Isotretinoin and have no history of keloid or hypertrophic scarring.

I recommend going ahead with masseter Botox if you wish. For lip fillers, consult your dermatologist or injector, and consider delaying until three to six months after stopping isotretinoin for best safety.

I hope this helps.

Take care.

Regards.