Okay so I just wanted to report my success on accutane for all of you wishy washy about the drug. I have had persistent acne since I was 13 and I am now 23. I wouldn't call it cystic but I do get cysts as well as a lot of tiny bumps all over and some red inflamed ones. Since turning 20 it has gotten a bit better but I almost never have totally clear skin. I tried literally everything, every over the counter product, diet, cleanse, uv lights, facials, peels, etc. last year I started modeling and got signed to a nyc agency while my skin was fairly good. But this winter all hell broke loose esp during fashion week and the only thing that would make it slightly better was a monthly facial with extractions. I'm talking face covered in little bumps and blackheads/ whiteheads, red inflamed ones, cysts, etc. my skin was very clogged. I finally went back to the derm and she prescribed me .3% adalopene gel, which I used morning and night. It made my skin purge a bit and my right side of my face was covered in cysts. After 2 weeks of that I went on accutane 20mg a day. Today is only DAY 3 of accutane and my skin is flat no pimples except a few tiny bumps (like 5) that you can hardly see. I have marks that are healing quickly (I think the adalopene is helping). I can't believe the rate of success I'm having. No side effects, my skin is not overly dry, just not oily and when I wash it with my low grade benzoyl peroxide cleanser the old skin rolls off. I'm wearing light tinted moisturizer with spf during the day. My advice? GO ON ACCUTANE!!!!