Is this acne or acne scarring?

Patient

Q: I've been on Accutane for about 4 months now and this is my third time. It helped with a few bigger pimples that I had however I've never really had a problem with bigger pimples, only smaller ones. I still get small blackheads & whiteheads that do not seem to go away. Although I am still getting these small whiteheads etc, they're not that bad. But I have this one "patch" of whatever it may be that does not want to improve.

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Symptoms:  Acne
Doctor

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