Will a second round of Accutane help with my breakout after going on birth control?

yes accutane can give improvement in asecond round. see link to emeragecosmetics.com where we do free skincare consults daily and can get you on the right protocol.
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.

Thank you for your question. Accutane will work for a second round. It is hard to predict how skin will react to a change in hormones, but Accutane will help clear up any current acne lesions and prevent acne development throughout your course on the medication. You may want to try a topical treatment like a retinoid, salicylic acid, or benzoyl peroxide first to see if they provide any relief. I recommend consulting with a board-certified dermatologist to discuss your options.