Thank you for your question. I'm sorry to hear about your acne returning after Accutane. Unfortunately, there is a small percentage of individuals that have recurrent acne after Accutane, and acne treatments are based on the type of acne and skin type you have. Treatments include oral antibiotics, medicated creams and ointments, Accutane, or cosmetic procedures such as peels, laser treatments, or facials. In my experience, I found a combination therapy of oral antibiotics and topical medications to be effective in treating mild to moderate acne. However, if acne breakouts still occur with this combination therapy, then another course of Accutane may be considered. I highly recommend you consult with a board certified dermatologist to have your skin evaluated and to discuss treatment options that best suit your needs. Take care and good luck.