Hello and thank you for your question. One of the side effects of Accutane is abnormal menses, and that may be what you are experiencing. I recommend a consultation by a board certified dermatologist and also a board certified gynecologist for evaluation and discussion of appropriate treatment....
Thank you for your question and photographs. A common side effect of Accutane is skin sensitivity and increase risks in scarring when any trauma or injury is done to the skin. Melasma treatments include topical lightening creams, laser treatments, chemical peels. In my experience, waiting until...
A combination approach will give the most improvement. I recommend lasers, microneedling/PRP, Cosmelan, peels and skin care. I suggest getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer