An acne medication that would secretly play cosmetic surgeons: the idea is a TikTok dream. Since Kendall Jenner spoke, the theory of “free rhinoplasty” obtained thanks to Roaccutane has unleashed comments and before/after videos, often viral. Behind these impressive montages, a question remains unanswered: to what extent can a simple anti-acne treatment really transform a nose?
In France, nearly 6 million people live with acne. For severe forms, dermatologists prescribe oral isotretinoin, long sold under the name Roaccutane, a retinoid known to be very effective but also closely monitored, between extreme dryness of the skin, chapped lips and photosensitivity. And yet, in 2026, it is less its impact on pimples than on the shape of the nose that excites the networks.
Roaccutane and Kendall Jenner’s nose: why the rumor exploded
Guest of the podcast, Kendall Jenner responded to plastic surgery rumors by swearing that she had never touched her nose. , said the model. She then talked about her acne treatment: . Words that were enough to fuel the “Accutane nose job” trend.
On TikTok, videos comparing Kendall Jenner’s teenage face to her current photos are multiplying. Some see this as proof that isotretinoin treatment is enough to refine the tip and bridge of the nose. Others point out that Roaccutane is often prescribed during adolescence, a period when the face naturally loses its curves and becomes structured, which further complicates the reading of these before/afters.
What Roaccutane really changes in the nose
Medically, isotretinoin is designed to treat severe acne. This oral retinoid greatly reduces sebum production and decreases the size of the sebaceous glands. , explains Dr. Joshua Zeichner, director of clinical and cosmetic research in the dermatology department at Mount Sinai Hospital in New York, quoted by the magazine. Hence this impression of a sharper, less shiny, less “thick” area.
The anti-inflammatory effects of the drug also reduce swelling related to pimples and edema. Dermatologist Dr. Ife J. Rodney summarizes: . In short, the skin and soft tissues deflate. The nose, very rich in sebaceous glands, can then appear thinner, without the bone or cartilage moving.
Optical illusion or real change: what dermatologists say
Specialists therefore describe a primarily visual phenomenon. In reality, the medication acts on the surface: texture, redness, shine, volume of the glands. It does not reshape the architecture of the nose. Dermatologists also point out that most of the patients treated are very young; in a few years, the face becomes refined, the features become clearer, and the makeup (contouring, lighting, camera angles) further accentuates this impression of a sharp nose, as we see in Kendall Jenner.
Finally, doctors point out that this treatment remains burdensome: intense skin dryness, chapped lips, dry eyes, biological risks, and above all major danger in the event of pregnancy, with contraception and strict monitoring required. They emphasize one specific point: Roaccutane is reserved for severe acne that resists other options, not the search for a thinner nose. For a real change in shape, only rhinoplasty performed by a surgeon can modify the bone and cartilage; isotretinoin only affects the skin envelope.
Can Roaccutane replace rhinoplasty to refine the nose?
Dermatologists explain that Roaccutane does not change the bone or cartilage of the nose. It can refine the appearance of the skin, not the structure, so does not replace rhinoplasty.
Why may the nose appear thinner during Roaccutane treatment?
The medication reduces sebum production, the size of the sebaceous glands, and inflammation. Less shine, spots and swelling give the illusion of a thinner nose.
Who can receive Roaccutane treatment for acne?
Roaccutane is reserved for severe or resistant acne. It is prescribed under close medical supervision, with regular check-ups and compulsory contraception in patients of childbearing age.
