I can tell from those pictures that you're a cute guy. I know soo many people say this and I'm sure you really just want to get your skin clear, but if the girl really likes you she will not care what you're skin looks like. I know plenty of people with acne who are in very happy relationships, and as a girl I really don't care about acne (and I didn't even when my skin was clear). I think it can be rare sometimes to find a sweet, caring guy who is genuinely interested in actually having a relationship with a girl at your age, and trust me, girls do appreciate the kindness because some guys can be real jerks in high school who aren't looking for the right thing. Also, go back and look at the situation. Has she really become more withdrawn from you, or do you think you're just a little paranoid? It could be that your confidence is going down if you say your skin has gotten worse, so you might be coming across as more withdrawn even if you don't realize it, and she could just be picking up on that. If that's not the case, then she is shallow and not worth your time. I promise you you'll find a girl out there who will like you, especially if you try not to be down on yourself, and when you do get clear skin (because you will!) you will know she really likes you and appreciates you as a person. I'm in the same boat as you. I've tried differin, tazorac, and multiple antibiotics. I really didn't like tazorac because it seemed liked the initial breakout just lasted so long and it irritated my skin, but it is supposed to stay bad for a good while before it gets better. And there was no promise after the 12 weeks you're supposed to stay on it that I would even be completely clear. I'm on epiduo gel and bactrim, which my derm said was a last resort before accutane. I honestly really just want the accutane. I was scared at first because of all those horror stories you hear, but from what I've read, the worst side effects are incredibly rare. You mainly just get dry skin and lips, maybe nose bleeds, and maybe muscle and back pain that doesn't have to be severe. I've watched many videos on youtube of people who went on accutane, and I have yet to see one video or read one testimonial where the person was not elated by how much better their acne got. I mean it really eliminates it, and I even read one dermatologist say that 100% of people who go on accutane seems major improvement. And the thing is, accutane actually changes your skin from the inside so many people don't ever experience acne again after completing it (a course usually lasts 4-6 months). I would recommend you watch some videos and read testimonials, because they're really encouraging. Your derm is probably like mine, in that they want to exhaust every single possibility before putting you on accutane, since it is so intense, but if you haven't seen any improvement I think you should give it a shot. I probably will. I know acne sucks, but trust me when I say high school is most definitely not the best years of your life. Just think about all the time you'll have in college, when you'll most definitely have clear skin whether it be on the meds you're taking now or accutane. Also, I say give it a shot with that girl. Just try spending more time with her and tell her how you feel, and if she has a stupid reason for turning you down, just think of how stupid she'll feel when she sees you with awesome clear skin. Good luck to you, and if we do both end up going on accutane and you need a budy I'm here to talk