Accutane (isotretinoin) can increase your risk of hypertrophic scarring. This means that wounds, including tattoo sites, might heal with raised, thickened scars. This increased risk is due to Accutane’s effect on skin cell regeneration and collagen production.
Understanding Hypertrophic Scars
Hypertrophic scars are different from keloids. They generally remain confined to the original wound area and usually fade over time. However, they can be noticeable and sometimes itchy or painful.
- Appearance: Raised, red, and firm. Texture: Can be lumpy or bumpy. Symptoms: Itching, pain, or tenderness are possible.
Minimizing Your Risk After Tattooing While on Accutane
Delay Tattooing: The safest approach is to wait until you’ve completely finished your Accutane course and allow sufficient time for your skin to fully recover. Your dermatologist can advise on a suitable waiting period. This time period is usually several months, and potentially longer depending on the individual and the dose of Accutane used. Choose a Reputable Artist: A skilled artist uses sterile equipment and proper aftercare instructions, reducing infection risk, a factor that can exacerbate scarring. Follow Aftercare Instructions Meticulously: Keep the tattoo clean, moisturized, and protected from sun exposure. Your artist will provide specific guidelines for healing your new tattoo, follow these diligently. Consult Your Dermatologist: Discuss your plans to get a tattoo with your dermatologist before making an appointment. They can assess your skin’s condition and advise you on the risks.
Managing Existing Scars
If you already have hypertrophic scars from a tattoo obtained while on Accutane, consult your dermatologist. They might recommend treatments like silicone sheets, pressure therapy, or steroid injections to help flatten and fade the scars.


