Is it normal to experience red dots under my eyes and around my mouth after finishing a treatment of Roaccutane?

Experiencing skin changes such as red dots, particularly under the eyes and around the mouth, after completing a course of Roaccutane (isotretinoin) is not uncommon, although it can be concerning. Roaccutane is a powerful medication used to treat severe acne, and it can cause various skin-related side effects, even after discontinuation.

Here are a few possibilities for what you might be experiencing:

Post-Inflammatory Erythema or Dermatitis: The red dots could be a form of dermatitis or irritation. Isotretinoin can make the skin more sensitive and prone to irritation, which might manifest as redness or a rash.

Eczema or Dermatitis: The symptoms you described, such as itchiness and soreness, can resemble eczema or dermatitis. This might be due to the skin's increased sensitivity after treatment.

Allergic Reaction or Contact Dermatitis: Consider whether you have been using new skincare products or cosmetics, as these could cause an allergic reaction or contact dermatitis, especially on sensitized skin post-treatment.

Delayed Side Effects: While less common, some individuals may experience delayed skin reactions following isotretinoin treatment.

It is important to consult with a dermatologist to accurately diagnose the cause of these symptoms and receive appropriate treatment. They may recommend a gentle skincare routine, topical treatments to reduce inflammation, or other interventions based on your specific condition. In the meantime, avoid harsh skincare products and protect your skin from excessive sun exposure.