ASDS Guidelines Task Force: Consensus Recommendations Regarding the Safety of Lasers, Dermabrasion, Chemical Peels, Energy Devices, and Skin Surgery During and After Isotretinoin Use

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]
Abigail WaldmanMurad Alam

Abstract

Currently, the isotretinoin (13-cis-retinoic acid) package insert contains language advising the discontinuation of isotretinoin for 6 months before performing cosmetic procedures, including waxing, dermabrasion, chemical peels, laser procedures, or incisional and excisional cold-steel surgery. It is common practice to follow this standard because of concerns regarding reports of sporadic adverse events and increased risk of scarring. To develop expert consensus regarding the safety of skin procedures, including resurfacing, energy device treatments, and incisional and excisional procedures, in the setting of concurrent or recent isotretinoin use. The American Society for Dermatologic Surgery authorized a task force of content experts to review the evidence and provide guidance. First, data were extracted from the literature. This was followed by a clinical question review, a consensus Delphi process, and validation of the results by peer review. The task force concluded that there is insufficient evidence to justify delaying treatment with superficial chemical peels and nonablative lasers, including hair removal lasers and lights, vascular lasers, and nonablative fractional devices for patients currently or recently exposed to...Continue Reading

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Citations

May 31, 2018·Current Opinion in Pediatrics·Muithi Mwanthi, Andrea L Zaenglein
May 22, 2018·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Jun XiaWeihui Zeng
Mar 1, 2018·Journal of Cosmetic and Laser Therapy : Official Publication of the European Society for Laser Dermatology·Katherine Ann McDonaldAfsaneh Alavi
Oct 18, 2019·Lasers in Surgery and Medicine·Arielle N B KauvarPaul M Friedman
Apr 7, 2020·Health Physics·UNKNOWN International Commission on Non-Ionizing Radiation Protection (ICNIRP)
Apr 12, 2020·Journal of the European Academy of Dermatology and Venereology : JEADV·Clio DessiniotiDimitrios Rigopoulos
Aug 30, 2020·International Journal of Dermatology·Haady Fallah, Marius Rademaker
Nov 9, 2019·Dermatology and Therapy·Nicola I Espinosa, Philip R Cohen
May 26, 2020·Journal of Cutaneous Medicine and Surgery·Vincent Richer, L Alexandra Kuritzky
Jun 13, 2020·American Journal of Clinical Dermatology·Tina S Alster, Monica K Li
Aug 4, 2020·Expert Review of Clinical Pharmacology·Edileia Bagatin, Caroline Sousa Costa
Nov 19, 2020·Dermatologic Therapy·Natalia Gennadievna KalashnikovaMohammad Jafferany
May 8, 2021·Expert Review of Clinical Pharmacology·Edileia BagatinCaroline Sousa Costa
Sep 20, 2021·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Sukran Sarigul Guduk, Gulsen Tukenmez Demirci
Dec 22, 2021·Journal of Cosmetic Dermatology·Sarah A IbrahimMurad Alam

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