Thank you for your question. Results with Accutane therapy vary per individual. Also, your progress may be related to the dose you are taking daily. Accutane dosing is based on your weight, which is 1 mg per kilogram; therefore, if you are taking a low dose, then improvement may be minimal. Also, it is not uncommon to have acne breakouts while on Accutane therapy, especially within the first few weeks of treatment. Usually the flare-up lasts a couple of weeks, but in some individuals, the flare-up can be very severe and occur for several months. Please be patient with the treatment because acne tends to get worse before it gets better. I recommend you consult with your dermatologist regarding your concerns and to discuss any further questions you may have with therapy.Take care and good luck.