What is the efficiency of Accutane second time around?

All of my Accutane/isotretinoin/acne patients do our Accutane protocol from emeragecosmetics.com (where we do free skincare consults daily) and peels like aerify/cosmelan/enlighten.
Acne requires a combination approach to get long-term improvement. For all patients on isotretinoin, we require them to be on skincare such as vitamin C (Skinceuticals Phloretin CF, EmerageSkin AOX-C), glycolic cream (Jan Marini bioclear, EmerageSkin enzymatic polish), kojic acid serums (Skinceuticals phytoplus), and hyaluronic acid serum (IS clinical hydra cool serum, Skinceuticals B5, EmerageSkin hyla B) in the morning and retinols (reve skin 1.0 and sente biocomplete serum) and salicylic acid (reveskin acne purifying enhancer), growth factors and peptides (anetageMD, EmerageSkin Re-Fit Face/Eye) 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 microneedling RF like intensif or fractora or pixel8 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/AERIFY peels, salt facial, or dermalinfusion can be done as well to speed up the improvement. I suggest you go to an expert who combines skincare, lasers, microneedling, PRP, and facials while on oral medications for acne. Best, Dr. Emer.