Is my acne bad enough for accutane? I am not ttc at this time but don't want to risk fetal deformation if my ocs mess up.

Your call. Your dermatologist will not prescribe Accutane if there is any possibility of your becoming pregnant. Acne in a young woman can usually be managed by a combination of topical agents such as a Clindamycin / retinoic combination and a systemic antibiotic such as erythromycin. If you have someone special who truly loves you, he may not even consider your acne a problem -- he can help you decide.