From your description, you sound like you may have comedonal acne. We can investigate if there is a hormonal component to it. I would be interested to know how you responded to your previous treatment with Accutane.
I imagine you would have had a good response but it flared when you stopped the treatment. If that is the case, we can explore reasons for the flare e.g. treatment was too short, dose was suboptimal.
From my experience, comedonal acne responds to medicines in the Accutane family very well. Most people will experience an excellent improvement during treatment, and remain well for months to years even after treatment is stopped, provided the right dose and right length of treatment is given.
Sometimes other treatments such as extraction and lasers can be performed in conjunction with low dose oral isotretinoin for optimal results.
I would advise you to seek a consultation with a trusted doctor or dermatologist if it continues to bother you.
