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10 years of bad skin

I've been suffering with my skin for around 10 years, where it started off with just a few spots and now 10 years later I have really sore bumpy under the skin cysts and redness. I've tired almost everything to try and cure with antibiotics, creams, facials, peels.  Today it seems to getting worse and worse not better I have sores all over my face that look like burns. It's so sore I don't know what to do next.  Ive read a lot about accutane was wondering if that should be my next step? my
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