Just about to finish week four. Definite improvement from the initial breakout but my skin is no better than before I started accutane. I heard the second month is really where it kicks in so I am hoping for that. My skin has felt less dry (perhaps it is adjusting?) and my hair is quite dry, but I am still showering once a day. I have no completely stopped breaking out but the stuff they I do have does just seem to be lingering from the IB, pimples seem to take a lot longer to heal on accutane. I am going to see my derma a the 6th week mark to up my dosage hopefully, still at about 20mg a day right now. Side effects are only dry lips and maybe a little bit more fatigue, but nothing major.