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Can You Get Piercings on Accutane and Avoid Complications?

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See how getting piercings on Accutane compares to waiting until after treatment, and which option leads to better healing results.

Dr. Ross Kopelman

November 20, 2025  ⁃  5 Min read

You cannot safely get new piercings while taking Accutane because the medication slows skin healing and increases the risk of infection or scarring. When people ask, “Can you get piercings on Accutane?” The medical guidance is clear: the risks outweigh the benefits. 

The skin becomes dry, fragile, and more reactive, making even minor wounds harder to manage. This can turn a routine piercing into a longer and more uncomfortable healing process. Most dermatologists recommend waiting until treatment is complete before considering any new piercings.

DermOnDemand sees this question often in online visits, and Dr Hannah Kopelman shares clear guidance based on clinical experience. The short answer is that Accutane affects the healing process, so it is essential to understand the risks before making any decision.

Key Takeaways

  • Getting new piercings on Accutane is unsafe because the medication slows healing and increases the risk of infection or scarring.
  • Most piercing types, including cartilage and nipple piercings, react poorly during treatment due to skin dryness and reduced barrier strength.
  • It is safer to wait several months after finishing Accutane before getting pierced, to allow the skin to recover fully.
  • If you already have a piercing while on Accutane, watch for persistent redness, pain, or discharge, and contact a dermatologist if symptoms persist.
  • Non-invasive options, such as clip-on jewelry, offer a safer alternative while completing your Accutane course.

Are Piercings Safe While Taking Accutane?

Accutane reduces oil production and changes how the skin reacts to wounds. These changes relate to how Accutane affects oily skin, which can influence how a new piercing responds to irritation. 

The primary concern is the higher chance of infection or scarring, which can turn a simple piercing into a long recovery.

Why You Can’t Get Piercings or Tattoos on Accutane

Accutane makes the skin more reactive, increasing the risk of infection or scarring at the site of needle entry. Even minor wounds can take much longer to close. This can lead to more isotretinoin side effects, including delayed healing or raised scars.

Safety by Piercing Type

Ear Piercing on Accutane

Ear piercing on Accutane becomes risky because the skin is drier and more sensitive. Even simple lobe piercings may take longer to close and can develop redness or swelling. Cartilage piercings carry even more risk because these areas heal more slowly by nature.

Nose Piercing on Accutane

A nose piercing while on Accutane also poses challenges. The area tends to stay irritated, and the healing piercing may react poorly to minor friction. Patients often report more discomfort than expected.

Belly Button Piercing on Accutane

A belly button piercing while on Accutane is another concern, as increased moisture and friction in that area can worsen the piercing. These piercings already heal slowly, and Accutane can make the process even longer.

Eyebrow Piercing on Accutane

Eyebrow piercing while on Accutane might lead to more crusting and irritation. Since the skin is thin, this site can react strongly to minor trauma. Increased redness is common, even with proper care.

Nipple Piercing on Accutane

Nipple piercing on Accutane has one of the longest healing times under normal conditions. When combined with Accutane, it can lead to greater sensitivity and delayed improvement. Most dermatologists ask patients to wait to avoid long-term issues.

Activities to Avoid While on Accutane

Accutane affects the skin in several ways, so that some activities can increase the risk of complications. Avoid any cosmetic procedures that break the skin, including new piercings or tattoos. Limit aggressive skincare steps and avoid harsh treatments that can irritate sensitive areas.

Piercings Before and After Accutane

Can You Get Piercings Before Accutane?

Some patients ask if they can get piercings before Accutane. It is possible, but timing matters. If the piercing is fresh, it needs time to stabilise before starting treatment. Starting Accutane too early can disrupt wound healing.

How Long After Accutane Can You Get a Piercing?

Most specialists recommend waiting several months. This allows the skin to regain its normal balance and reduces the risk of scarring or irritation. An extended waiting period reduces the risk of complications and supports better health and safety.

If You Already Got a Piercing on Accutane

Warning Signs to Watch

Some patients get pierced before learning about the risks. If this happens, check for early warning signs. These include persistent redness, warmth, discharge, or increased pain. Any of these can signal a problem with the piercing’s healing.

When to Contact a Dermatologist

DermonDemand recommends contacting a dermatologist when symptoms continue or worsen. Dr. Hannah Kopelman often advises patients on how to safely care for these sites during virtual visits. Early treatment can reduce complications and protect the area from long-term damage.

Safer Options While on Accutane

If you want to change your look during treatment, consider non-invasive options. Clip-on jewellery, temporary studs, or small accessories can help you avoid irritation. These choices give you flexibility without risking infection or scarring.

Why Dermatologists Advise Caution

Dermatologists take a careful approach because Accutane changes how the skin heals, and many patients use it as part of their acne treatment, which requires close monitoring. 

The goal is to protect patients from unnecessary complications. Waiting until your treatment is complete helps achieve better results and reduces the risk of permanent marks.

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