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Accutane Question

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My brother is on accutane and is having his IB. Due to his fear of scarring and reminghim not to pick/scratch anything. This got me thinking there are those with moderate to severe acne that open or burst on there own, is this something that is just accepted int hat it may lead to scarring do to poor healing? You always hear about not having surgery/ resurfacing procedures due to poor healing and chance of scarring but, what abot the pimples that open, cysts that burst. Is it just the chance you take or is the poor healing blown out of proportion? From what I gather there are no real studies showing that accutane causes poor healing it is mostly reported by the users themselves.

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