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Getting Accutane From Private Dermatologist?

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Hello, I have been on a course of accutane before when I was 17 and it helped the severity of my acne but now at the age of 21 I still have very oily skin and mild/moderate breakouts around cheeks/nose/chin/neck a lot. If I paid for a private derm would he put me on second course of accutane, maybe a low dosage course?

Please help me I hate looking in mirrors, I need something doing

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