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J Cosmet Laser Ther. 2018 Feb 28:1-3. doi: 10.1080/14764172.2018.1444775. [Epub ahead of print]

A 2017 update: Challenging the cosmetic procedural delay following oral isotretinoin therapy.

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a University of Ottawa , Ottawa , Canada.
b Medicine Division, Department of Dermatology , University of Ottawa, The Ottawa Hospital , Ottawa , Canada.
c Medicine Division, Department of Dermatology , University of Toronto , Toronto , Canada.
d Women's College Hospital , Canada .


For decades it has been widely accepted that elective procedures should be delayed for at least 6-months following completion of isotretinoin therapy. However, numerous 2017 publications demonstrate the need for change in best practice. The evidence has yet to be succinctly summarized in a single article or in a stand-alone quick reference algorithm for physicians. This article's review of all 2017 publications confirms that the 6-month delay is not necessary for all procedures and provides a simple algorithmic approach to summarize the updated recommendations for procedural delay of cosmetic procedures following systemic isotretinoin therapy. This is a useful tool for clinicians and allows patients to receive the most appropriate and timely cosmetic therapy to minimize the psychosocial impact of the skin condition.


Lasers and light sources; isotretinoin; microdermabrasion; surgery

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