I took my first pill last night. My skin is actually OK right now. My biggest insecurity are the clogged pores around my mouth. It's so weird...every other part of my face is pristine save for some areas of congestion around my temples, but those really don't bother me. It's the ones around my mouth that make me self-conscious. In certain lighting, it looks AWFUL--so congested. Just gross. They just sit there! The last 2 times that I did Accutane, I didn't have as much congestion as I do now, but it did work quickly and made my skin both smooth and breakout free. I'm a little nervous about this round and what will happen to those clogged pores. If anyone has any light to shed on this issue, I'd love to hear it!