Thanks for all the advice. We are a week into the accutane therapy and have more downs than up, but realistically expected it.
BIO OIL ROCKS. I work with burn survivors and it is my favorite new product for moisturizing and helping to minimize their scarring. I have a bottle on my shelf (for me!)and it is ready to go for Joe when the dryness that accutane is infamous for starts, but so far he hasnt been too dry. Even his lips are not chapping (yet). He is only on a 40 mg per day dose, maybe his oil production level could use a higher dosage, but we will see when we go back to the derm at the end of the month.
Tea tree oil burns him. He won't use it anymore. He is still covered with acne on his cheeks, under his chin, forehead and even in his eye brows. The parts of his face that are not affected seem to have smooth uncongested skin, which is new for us. This is a painful process and heartwrenching for parents. We can't fix it or go through it for them.
Thanks again for the encouragement. It is easy to feel down.