I've been struggling with adult acne for almost 4 years now and have literally tried every topical under the sun. I've tried differin, duac, tazorac, retin-a, aczone, metrogel, avar cream, soolantra etc. and all they've done is apperently now triggered rosacea and seb derm . My face is constantly red, scaley and my pores are huge and look terrible. My skin is also so sensitive now and even little zits that arent red leave tiny little scars. My acne fluctuates between moderate-mild but i've had severe breakouts as well a few times. I'm currently on Solodyn 65mg and it literally hasn't done anything. Just when I think it's helping I get a big breakout in places I never even had acne before. I went to my derm in May hoping for accutane and she gave me oracea (doxycycline) and something in the extended release made my face go crazy with zits all over my cheeks. I went back pissed with my skin the worst its ever been and then she prescribes the solodyn. I wasn't allergic to the Solodyn thank god but like I said it literally hasn't done a thing to help. I know that accutane dries the skin out really bad and for someone with seb derm that isn't good. I asked her to give me a low dose of acctuane (like 20mg for 8 months or something) but she refused. I'm in a really bad place and constantly feeling down about my skin. It's literally all I can think about and I feel hopeless with treatment. Has anyone here had a good expierience with a lower dose of accutane before? What were your side effects? Was it worth it in the end? I just need some advice here. Sorry for the rant but I feel like this forum is the only place I can really vent about this stuff and get good advice from. Thanks in advance to anyone who responds!