Is low dose accutane worth it?

I'm on low dose 20mg Accutane. 23 year old, muscular 180lb male. I have had no side effects at all, not even dry lips; however, no results either. Dermatologist suggests this "in addition to an aggressive topical regimen." Would it make more sense to see a different dermatologist to give a higher dose of accutane rather than one who is wanting to keep me at a low ineffective dose in order to keep me coming back for cosmeceuticals?

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