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breakouts coming back after taking accutane

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I am 20 years old (almost 21), and took accutane 2 years ago to clear up my skin because nothing else was working. It worked! And for 2 years I had clear, wonderful, non-oily skin. But recently, starting about a month or two ago, I began breaking out again mostly around the lower half of my face on my cheeks. I NEVER want my acne to return as bad as it was, but I know i need to do something now to prevent that from happening. I am currently taking loestrin 24FE birth control but am considering switching to see if that will have an effect. Has anyone had good results with other birth controls? And also what has anyone seen with Spironolactone? One other thing that I have not tried is sodium sulfacetamide.... please let me know what you have tried and what has worked. THANKS!

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