Accutane (Vitamin A derivative) is used to treat severe cystic acne that does not respond to oral antibiotics (Tetracycline, doxycycline) or topical gel (Benzoyl Peroxide or clindamycin)
The other options that are available if you are not keen to take accutane could be a combination of the other treatments as listed below
1) Hydrabeauty or Hydra facial
This deep cleansing facial can help to deep cleanse the pores reducing sebum and bacteria on the skin. It can also hydrate the skin
2) Innoplus Microneedling
This treatment uses very fine 33 G needle to deliver RF Waves to destroy the sebaceous glands and bacteria thereby reducing acne outbraeks
3) Spectra Carbon Laser
The heat and exfoliation produced by the Carbon laser can destroy the bacteria,reduces pore size and pigmentation
4) Intense Pulse Light (IPL)
IPL can kill the bacteria,lighten pigmentation and reduce inflamation in acne
3) Oral contracetive pills such as Diane 35 may help
It would be good for you to see a doctor to discuss your problems and other alternative treatment
Cheers
Dr Lim Heng Wei
Aesthetic