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It does not cause scars but it will alter appearance of skin. Overall the effect for severe cystic acne is dogmatic improvement. The minor changes can be dealt with later with Microneedling safely.
This is an extremely low dose and you are very sensitive. This dose is not curative dose so unless a said helps you need to discuss with your doctor other options.
It is preferable to wait up to two months for accutane effects to wear out of system.You are more sensitive to sun.
The dose is supposed to be 1-2 mg per kilogram of weight per day. Typically 60 mg or more for a period of 15-20 weeks. You need to reach a total dose of 150 mg per kilo of weight .