Nothing is 100% including Accutane and I've have had, over my years of using it, a small number of patients who need a second course to help clear them better.I also have had one or two patients in whom Accutane had absolutely no effect at all -- something I'm not happy about.Because you said...
I agree with the previous answer that sometimes patients need a longer course of Accutane. And I also have seen patients who have not gotten real clearing until the last month.Discuss this with your practitioner and let them know your feelings.
Please do not do either while on accutane, and if you do, please stop the medication for the time you are doing it. Both can increase your skin of liver issues and sun burn/sensitivity. Best, Dr. Emer.