Red Patches on Face After Accutane

Doctors often refer to the dryness that occurs with isotretinoin and retinoids like Retin-A as the retinoid reaction. Although normal, the dryness can lead to a feeling of discomfort that can ultimately compromise your compliance. Retinoid reaction includes:
DrynessRednessItchingBurningDiscomfortIn my office in Beverly Hills, I prescribe Accutane quite a bit for cystic acne and inflammatory scarring. Patients are advised to moisturize frequently with a non-oily moisturizer such as Elevase Moisture Booster, which we use in our office. Applied liberally on the face, the ceramides are soothing and relieve discomfort when possible. 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

It is quite common to see redness during after Accutane due to dryness, and inflammatory nature of Accutane. For the redness to persists more than 10 months, something else may be going on, e.g. acne rosacea, inadequate sun protection or moisturization.

Accutane causes the skin to get very dry which can result in redness or even eczema.  You may need a richer moisturizer or even topical steroid therapy.  The redness may also represent another condition.  You should discuss these symptoms with your treating dermatologist.

Redness of the skin in patients on Accutane can be due to several different causes.  Accutane can cause extreme dryness of the skin.  This dryness itself can lead to redness and irritation.  This can be treated using a combination of moisturizers, topcial steroids, and topical non-steroidal anti-inflammatory medicines.  Another cause of redness is a "stain" left in the skin after pimples have gone away.

This postinflammatory pigmentation will fade with time.  If you developed scarring from your acne, this may also appear red.  The redness is scars generally fades, but there are some lasers to help improve the appearance of them.  Generally speaking, you should not have a laser procedure done until you are off Accutane for about 6 months, because the skin is very sensitive from the medicine.

Most patients who take Accutane get some redness.  This is usually noticeable while you are on the medication but should go away when you are off.  In case you don't know the way to cover redness is to use a green tinted base or cover-up. 

Accutane can make your skin more sensitive. I have definitely seen red patches develop in individuals on Accutane. Most of the time, these red patches resolve after discontinuation of the medication. On the other hand, you may also have a natural tendency to develop Rosacea, possibly unrelated to Accutane.
I would discuss this concern with your dermatologist.