So I had done everything and anything for my acne before I was given roaccutane (uk version) I spent about 5k on my skin both in meds and other skin treatments because no one but acne suffers know the pain it causes mentally. I finally got it and wow my life was great. Been using differin since but now spots are comics back. I have come to the conclusion- its birth control. Im going to come off mine ( I have the implant and even though for the first 5 years I had it/changed it- never had a single spot) I think the hormones in it are whats causing it. Even since I took that last pill - the make up comes off (if I wear it) the differin will be put on, I rarely eat dairy, rarely eat sweet things becuase if that paranoia. But im getting cystic spots come up- Im 29. Everyone around me has flawless faces and I live with the worry of spots, blackheads, cysts. I cant think of anything else I cant remove after taking the nuclear option and still using a retional that im still breaking out horrifically. The only thing that keeps my skin clear is sunbeds and obviously that option is even less safe than accutane. Sorry for the rant but just wanted to share that there may be other reasons for acne and accutane can stop even years later. I had a delicious account and did a 2 year update where I said I get the occasional spot but now that occasional spot is a cyst which can scar. Plus the scaring/hyperpigmentation I already had. I also want to say to everyone else suffering with acne - its not fair and none of us deserve this issue which no one else but sufferers understand!