Accutane makes the skin more fragile and we typically tell patients to avoid any laser procedures, including microdermabrasion, for at least 6 months. However, many microdermabrasion machines have adjustable levels and allow for a more gentle treatment. I would also be interested to know what dose of Accutane you took. Accutane is typically given according to a patient's weight, but often patients are on a lower (or sometimes higher) than usual dose. If you were on a low dose you may not have experienced significant skin fragility. You should see a physician who is very experienced with microdermabrasion, as every patient is different. You may be able to begin microdermabrasion treatments before 6 months have passed.