How can I find a derm who prescribes low dose Accutane?

I do this all the time I suggest you just ask.  we combine accutane with facials, lasers and a specific skincare regimen (see emeragecosmetics.com where you can do free skincare consults virtually).
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.

Thanks for your question.  I think most dermatologists would be open to the idea of low dose accutane, as long as you follow the Ipledge guidelines.  For females, this does mean a pregnancy test has to be taken one month before starting, and once a month while on the therapy, but for males and for women that have had a hysterectomy or are definitely past menopause, there is no requirement for that kind of testing.    You can always ask when you call to make an appointment, but it sounds very reasonable to me.  Best of luck!