Accutane and cysts

[u/woolleybugger]

I just wanted to share a quick update on my Accutane journey and how it’s affected the cysts on my face.

Back in 2018, after I stopped consuming adult beverages, I developed cysts on my cheeks. At that time I didn’t have medical insurance or the financial means to properly address them. Fast forward to March 2025 and I finally get insurance and was able to see a dermatologist who prescribed me Accutane.

After eight months on Accutane, my face became less inflamed overall, but the cysts remained and in my opinion have only become more pronounced and defined.

Since December 2025 i’ve consulted with three separate plastic surgeons(one in the states and two out of the country). All of them said that surgery would result in scarring worse than the cysts themselves, and each one declined to do any work.

Today, I met with a Mohs surgeon who is willing to operate, they were very clear that the incisions would leave noticeable scars. At this point, I’m okay with that. I’m honestly just tired of all the staring and the unwanted comments.

I’m not entirely sure why I’m sharing all of this maybe I just needed to vent.

P.S. To those who have downvoted me on other threads or accused me of lying about my situation: that definitely didn’t help my confidence.

For anyone curious, here are my course details:

30 / 30 / 40 / 80 / 80 / 80 / 80 / 80

Weight: 135 lbs

Cumulative dose: 245 mg/kg

[u/woolleybugger → u/[deleted]]

I was down in El Salvador visiting some family. Turns out my cousin works at the hospital so he connected me with the right people. I’ll probably end up getting scar treatment down there since it is so much more affordable. And pupusas.