I have had skin issues since I was 16 (I am now 23) and I have literally tried everything. Over the counter products, prescription products, Proactive, laser, Accutane... tried it all. I have had two major breakouts in my life. Major meaning covering my face with cystic acne.
When I was 17 I broke out terribly and went on Accutane. Don't get me wrong, it worked for me, but it caused severe mental issues when I was on it. It cleared my skin up really well, but when I looked in the mirror I didn't see what was looking back at me. I was severely depressed from it and had suicidal thoughts. So I, personally, would not recommend Accutane.
My skin was clear for about 2 years when suddenly it all came back. This time, I decided to go a different route. I started getting a microderm or chemical peel every 2-4 weeks. It worked wonders! I noticed a big difference within 3 months and within 6 months it was cleared up. I still maintain my skin by doing a monthly treatment. It has really changed my life. Of course, I still get a pimple here or there, but NOTHING like it was before.
*My monthly peels and derms cost $80 each. 80 is not what I have spent all together as a total haha.