See a dermatologist: It sounds like you have a pretty severe case of acne (treated with accutane) and still not having satisfactory result. Derm docs can help you, possibly using chemical peels, intralesional injections of steroid, photo/photodynamic therapy, and some fractional laser therapy may be of benefit to you. This is out of my specialty, but I am sure derm docs can help. Consult your doc..Good luck.
Answered 4/14/2013
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Accutane 2nd time: 35 per cent of people who take Accutane will develop acne and will respond to a second course of 15-20 weeks at 1-2 mg/ kilogram of weight. A 130 pound person should be treated with up to 120 mg of Accutane a day if e essay but no less than 60 mg for long term clearance.
Answered 6/24/2014
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