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Isotretinoin and dermatosurgical procedures

1 Venkat Charmalaya – Centre for Advanced Dermatology and Postgraduate Training (RGUHS), Bengaluru, Karnataka, India
2 Department of Dermatology, Vikram Hospital, Mysuru, Karnataka, India
3 Department of Dermatologist, Inlaks and Budhrani Hospital, Pune, Maharashtra, India

Correspondence Address:
Venkataram Mysore,
Venkat Charmalaya – Centre for Advanced Dermatology and Postgraduate Training (RGUHS), 3437 1 G Cross, 7 Main, Subbanna Garden, Vijay Nagar, Bengaluru - 560 040, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijdvl.IJDVL_96_17

PMID: 29998863

Several early reports suggested that performance of dermatosurgical procedures in patients on oral isotretinoin is associated with abnormal skin healing, keloid or hypertrophic scar formation. However, this association has been recently questioned in some studies. This review examines this issue, analyzes the studies published and concludes that the recommendation made earlier about the need to avoid dermatosurgical procedures in patients on isotretinoin is based on inadequate and insufficient evidence and hence needs revision. The review also suggests that recent studies on the subject establish that performing such procedures is safe.

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