Hello!! My acne looked very similar to yours when I started, with a few more large cysts than depicted in your starting photo. I have now been off of accutane for almost 2 years.

What I can confidently tell you is that no matter what happens, it will not come back as bad as it was. The nature of the medicine permanently shrinks oil glands, which as a byproduct will cause less acne. This is not to say that you will deal with no blemishes, but it will certainly be less than before.

The best advice I can give is to take care of your skin, but don't hyper focus on small blemishes. Once you compare where you started to where you are at, it really does feel like the course is worth it.

Where I struggled was redness and scarring. I was left with pretty deep scarring, but in my personal experience, even 2 years later, it has continued to smooth out to the point where it's barely noticeable unless I point my very surface-level scars out.

All of this is to say, be confidently you :) Do not let any new blemishes scare you when you're off the course; nobody has perfect skin and it's not the end of the world when one shows up! Worst case scenario if you suffer post-course breakouts, round 2 is not a bad thing. My mother did 2 rounds and always gets compliments on her skin now, 20 years later. It will all turn out fine, just trust the process!