Is there any way to avoid accutane lips 100%?

I want to take accutane to shrink my nose but I've seen people get accutane lips wich Is a risk I need to avoid fully. For a bit more context I play the trumpet and my dream is to become professional so I can't afford at all the risk of getting accutane lips, does anyone know if there is an 100% way or are there any alternative's for shrinking your nose but have the same results as accutane?