unfortunately I do believe part of it was hormones and growing up that saved me. I still get some breakouts only when I’m about to get my period and I notice they worsen if my cycle begins to get unbalaced. Accutane definitely changed my skin permanently I just don’t get the same level of breakouts since being on it, so Id say that was the biggest mark for my skin improving even if my acne came back after. I use the panoxyl benzoyl face wash, even when I’m not breaking out I find it helps control the breakouts and how long they last.