I just started Accutane 8 days ago and feel like I am sort of hitting my initial breakout. It's not nearly as bad as your seems to have been 8-10 days in but I'm guessing mine is just going slower and it'll probably get worse. I'm taking 40 mg a day. Hope your skin is doing well, thanks for writing this log, I love reading about others in the same situation as I am.
On a side note, perhaps you've already mentioned this, but care to share what kind of soap you're using? My derm said not to use bar soap, and I read online that lots of people use Cetaphil, so I've been using that on my face in showers and using their facial moisturizer where my skin's getting dry.
For the face I use Cetaphil Gentle Cleanser. Try that one... bar soap will really dry you up, especially later in the course.
At the moment, though, I find that I don't have to cleanse as often just because my skin isn't producing any oil whatsoever. Sometimes just water is enough, and cleanser ends up irritating my skin more than it should. Also, especially right now since I have active cysts, I try to avoid rubbing my face with my hands because any pimples I accidentally pop can lead to scars. A lot of times I just let the water run over my face in the shower.
Also try to get a shampoo formulated for dry hair. When I used regular shampoos on accutane I got extreme "dandruff" (but it wasn't really dandruff, it was just really dry / flaky skin on my scalp). I ended up switching to Head & Shoulders "dry scalp care with almond oil" and since then I've had literally no dandruff. My hair is still dry all the time, but at least my scalp doesn't flake. Although, I can't be sure if it's the shampoo or my body just adjusting to the medicine, but I'm not taking any chances
Hope that helped somewhat. Good luck on your journey, and remember, no matter how bad it gets, don't give up!
Left cheek cysts continue to push out / tighten up / dry up. Right now they're kinda bloody and crusty which is really unsightly. I'm going to resist picking though, and wait for them to heal on their own. Also have another painful cyst growing on my forehead. Other than that, my face hasn't had any new breakouts aside from small comedonal stuff. My back continues to break out though.