It's surprising that your dermatologist didn't put you on a wider variety of topical medications. A lot of people find Retin-A helpful, in addition to Cleacin. I use Tazorac and Benzaclin now, which are really strong but they work great. I wouldn't suggest using accutane unless you've exhausted every single topical out there. The side effects can be really bad, and you're young to suffer through hair loss, extreme dryness, and mood swings.