Dark scabby pimples after 20 days of Accutane - normal? (Photo)

Thanks for your question. We see this commonly in the first couple of months on therapy, and most likely in a few months you will be very pleased with the improvement.  I always tell my patients to hang in there.  The medication can seem to bring out acne that was going to come along anyway, and usually anything new resolves more quickly than if you were not taking the medication.  Keep up a good moisturizing regimen that is recommended by your dermatologist, and of course a good quality sunscreen!.  I have high hopes that you are going to have an amazing result with the accutane.

Thank you for your question and photograph. In my experience, having acne dry and turn into dark red crusts or scabs is normal. Over time, they will slowly clear, but  the redness or dark marks may take months to over a year to fade. I highly recommend you consult with a board certified dermatologist to have your skin evaluated and monitored while on Accutane treatment. Take care and good luck.