I went on acctutane, 30 mg for 4 or 5 months. My skin broke out so bad. Huge cysts. I've tried everything you can imagine topical and antibiotics. I started breaking out again, it's been a few years but I started breaking out within a year after getting off accurate. I want to do a second round, but I'm scared I will have the same terrible breakout I did when I was on it. On average, do patients have a lesser breakout than the first time or is it about the same as the first?