Went to the derm again last Monday, going to pick up my third prescription today. I'm happy with my results so far, it's been a long road to where I'm at now, but through all of my side effects it's been worth it. My hair is thinning out I think, but it's not noticeable, the dryness of course, bouts of mild eczema on my hands, back and joint pain, vision trouble (after an eight hour shift of looking at a computer screen I become extremely near sighted.) headaches, not being able to concentrate....the emotional side affects are the worst though. Some days I just don't want to get out of bed. But by me saying its all worth it, should be very telling of how my acne affected my life so severely that I'm willing to put up with all of these things. If you are thinking of accutane, and don't feel like these (possibly permanent) side effects are worth it, then accutane is not for u. Here's some more pictures of my progress feedback much appreciated.