I wrote of great progress too soon. Today, I woke up to larger pimples, some inflamed, on my chin. I was already in the middle of a bad break-out so this isn't suprising. My skin looks much better overall (apart from some flaking).
SQUEAMISHNESS WARNING - The following description is a little disgusting:
I’ve noticed that the consistency of pimples had changed (darker & thicker) and pimples seem to refill with loads of pus to get out. I’m taking this as a sign that the accutane is pushing it all out. Also, my ears are full of waxy pus (I often get ear infections so I'm used to this).