Will Accutane a second time be beneficial for me? (Photos)

I’ve suffered from acne since I was 11, I am 28 now and have been on abx, countless creams, spiro, birth control, accutane, everything. Accutane I took when I was 21 that seems to be the only thing that ever worked. However over the past couple years my acne is coming back even while being on birth control and spiro. I really want to go on accutane again bc I cannot stand this acne anymore. I’m wondering if a second course of accutane would be beneficial for me.