I've always wondered why it's so hard to get a derm appointment. I mean, with all the derms I've been to, I've seen their calendars at the reception desk and they're always pretty sparse. It drives me insane so I used to resort to lying to get appointments (such as "I've got a wedding to go to this weekend and I need an injection for a cyst"...things like that). Worked like a charm every time. :)

Anyway, I think you should go for accutane if you have the chance. I know a lot of people suffer the initial breakout and then clear up after that and are happy with the results. If you're lucky, maybe you won't have the initial breakout. :) It's a nice thought, at least. Unfortunately, there's no telling what could happen. If you did have the breakout, the doctor might be able to give you something to go along with it. I was on a three week course of Cephalexin during the beginning of my accutane treatment. That may have helped.

Before accutane, I had nothing to help me keep my cysts under control. They were running rampant lol. I just tried different topicals and as everyone seems to know, topicals do nothing to get to the root of the cyst problem. They don't penetrate the skin deep enough to kill whatever bacteria is in there. I just suffered with the pain on my face and the embarassment til I decided enough was enough and it was time for me to take accutane.

Please let me know how everything is going for you. :)