I've had acne for about 6 years now and it's mostly stayed under control with antibiotics and topicals but my face has gotten permanently red over the years from all the products and my acne has gone from mostly inflammatory to non-inflammatory (even though I still get cysts from time to time). My current derm has me on Bactrim and no topicals at all right now but I've been on it a month and nothing has really changed except that I stopped getting cysts. Instead, I noticed that my face is now covered with closed comedones and tiny skin colored bumps everywhere. I also have extremely oily skin to where I can see the oil coming out of my pores within 10 minutes after washing. I'm going to a new derm this Thursday to ask if I can be put on a low dose of Accutane (hopefully 20mg because I'm only about 110 pounds). Right now, I'm just worried that she will refuse to prescribe it for me due to the fact that I don't look like I have really bad acne... but I've really tried every prescription product out there and nothing has helped. What do you think will help to convince her if she refuses?
Acne looks slightly better in these pictures than in real life... especially in the sun