My son is on day 46 and his derm says yes, it works from the top down. His forehead is the clearest part of his face now, when it used to be the worst. It definitely seems to be clearing from top down. His neck is worse than it ever was, with many more cysts, sort of like yours. Chest/back are another story altogether
Hope you have a positive experience and it clears you
Yeah I think that's how it is for most, guess it could work differently for everyone. And my forehead is also the clearest, although it never got much acne to begin with. My neck is definitely the worst part right now as well, but tell him to keep trudging through because I heard month 3/4 are the real turnaround months.
Thanks, and best of luck with his course as well!