The first two pics are of my face now. The third and fourth picture was my face 40 days ago before I started Accutane. I still have a ways to go, but the improvement has already changed my life. I am starting to regain my confidence. I can actually put make-up on and leave the house now. With make-up, my face looks pretty good!! No real side-effects so far except dry skin and lips. Since I started putting baby oil in a spray bottle and spraying it on while in shower, my skin is hardly dry at all. The lips are the worse. I have chap-stick everywhere. I apply it every time I think about it. If I don't, my lips will bleed.