Hello, you can still have occasional breakouts even you are on accutane. It will usually be less severe compared to your breakouts before. You should be able to see improvement after 1 to 2 months of usage and it will continue to improve when you are on it.
Some doctors will have a target cumulative dose of accutane for you based on your body weight. If you can tolerate the side effects from accutane, you can consider increasing the dose gradually. However please consult your doctor first before changing the dose yourself.
Ensure you have adequate sun protection to reduce risk of PIH. Hope this helps!
Regards
Dr Jiwei Wu
