Is bumpy textured skin 3 weeks into Accutane normal? (Photo)

Accutane is a go-to medication for patients with recalcitrant cystic acne. It can reduce pore size and also reduce sebum production in your skin, making it less oily; and in turn, dryer. Accutane can be used to control acne, but patients receiving the medication should be carefully monitored. In terms of skincare, always wear an appropriate sunscreen and reduce direct sun exposure. In my patients, I recommend a good ceramide moisturizer such as Elevase whenever they are on Accutane. This will keep the skin hydrated and reduce the oiliness of the skin that is associated with oil-based moisturizers.

Best,
Dr. Karamanoukian
Realself100 Surgeon

About 20% of people do have some worsening of their acne in the first month of Accutane treatment.  It is nothing to be concerned about and should go away with continuation of the treatment.  People who experience this flare do not end up with any worse result at the end of the treatment than people who didn't flare at all.  Good luck.  Best.