At first, it made my skin a bit worse but after a few months my skin looked great. It was the only thing that has worked for me. However, around this time I started getting bad lower back pain which I still have from time to time (I was treated 6 years ago). I have also been diagnosed with IBS and am starting to think it might be linked to the drug. My brother-in-law also took accutane in high school and lost all of his hair. He is still completely bald at 27 years old.
I would definitely think twice before trying this drug and make sure your dermatologist explains the risks to you.