while on accutaneo you should be getting peels, lasers, and facials regularly and we have a very extensive skincare plan for my patients (see link) and have them do enlighten peels at home.Acne requires a combination approach to get long term improvement. For all patients on isotretinoin, we require them to be on skin care such as vitamin C, glycolic cream, kojic acid serums in the morning and retinols and salicylic acid at night. All of our patients get clear+brilliant non ablative laser along with a microsecond YAG laser such as aerolase or laser genesis and microneedling with PRP or microneelding RF like intensif or fractora monthly to help improve breakouts, speed the healing process, and improve scarring and facial redness while on the isotretinoin/accutane. LED light therapy, cosmelan/enlighten peels, salt facial or dermalinfusion can be done as well to speed up the improvement. I sugges tyou go to an expert who combines skin care, lasers, microneedling, PRP, and facials while on oral medications for acne. Best, Dr. Emer.