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I would assume she is at the beginning of her regimen. What happens with Accutane occurs under the skin as the pores and glands change. What occurs is an initial acne flare-up and breakout because all of that has to come up and out. She needs to stick with the regimen and let it continue. It will get worse, and then much, much, much better. The first month or two are the worst. "This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."