Bleeding cysts is what people get when they first try Accutane, it is called "initial breakout" or purging, pushes whatever you have under your skin to outside. 2nd+ courses it is not that bad anymore. I have done multiple courses of (ro)Accutane, skin and lips usually return to normal within 2 months, each time skin improves also off Accutane, I just cant afford having any acne due to my job.