Hi John,

My teenage son is on Accutane right now (3 mos in) and he has severe cystic acne on his shoulders/chest as well, with lots of scarring occurring. The derm told him at his appt a couple days ago that he can treat the scars with laser or whatever (I know you don't want to go that route), but he must wait until at least 6 mos after he finishes his treatment. He also did say that they will mostly fade on their own, over time, and eventually they will be white. But this will take 1-2 yrs. I know this from firsthand experience. I was on Accutane as a teen, and also had shoulder/bacne. Now, 28 yrs later all my back scars are little white dots but don't bother me. I never treated them with anything. Basically I'm saying all the redness/purplish color faded to white.

For now you can use aloe Vera gel (pure, directly from the plant if possible), or vitamin E oil fades them nicely too. And a little sun exposure may be beneficial.

But honestly, your scars don't look bad to me, and don't bother me at all. And you have hardly any on your chest! That's awesome!! My poor son's chest has gotten so much worse from the Accutane

HTH!

I would recommend using Aloe Vera gel as a starting point as I've seen some improvement from using it on my scarred shoulders