Acne vulgaris. To improve my condition?

Thanks for the query. I believe its under the supervision of a Dermatologist as this is a serious prescription drug. You have to know many facts before starting on this medication. Now coming to persistence of acne, isotretinoin is just one arm of the therapy and sometimes the dose of 10mg/day is too less to give ant visible improvement. Kindly visit your dermatologist and ask his plan for you. The general acne treatment rules are Acne treatment has multiple stages - to control new breakouts, to clear the sequalae (pigmentation and scars) and to prevent a relapse. If you have active acne lesions, it should be controlled on priority basis. Acne scar and pores can be treated with subcision, dermaroller, ​ I assume what you mean is probably post acne pigmentation or post inflammatory pigmentation. ​Combination of different therapeutic agents is always beneficial. Revlite I.e. Q Switched Nd YAG laser can also be available. Hope it helps.