3 mths into Accutane my jawline broke out & still hasn't healed and my chest & back are not seeing much result. Advice? (photo)

While accutane (isotretinoin) is a terrific medication, there are some side effects that can occur.  This worsening can occur occasionally and is a normal reaction.  Sometime, however, it can become worse than expected and require medications by your dermatologist to get it under control, such as prednisone.  You should speak with your dermatologist about it at your next visit.  Good luck!

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

There are several possible reasons for the acne flare. You should be consulting with your doctor. The dosage you are on is appropriate for your weight, however if your acne is not clearing up  after 3 months, a small dosage increase or addition of an oral antibiotic that does not conflict with Accutane are both options. Let your doctor know about any supplements you are taking. Some muscle boosting supplements can increase testosterone which will flare up acne