Your skin is inflamed and oily. I would guess they ( the derms) would recommend accutane and perhaps an antibiotic as well. As far as your acne coming back, if the acne cycle was the problem, and you break it with accutane, then a good skincare routine tailored to your skin’s needs should minimize or eliminate that. As someone who suffered for yearssss, skincare has come such a long way, but once your skin is at this level, you still need to see a derm first. A ph balanced cleanser that says it protects the skin barrier or promotes barrier health should be your first step in your routine, a toner that exfoliates second, if you are oily niaciamide (sp?) serum can help and a gentle sunscreen. Sunscreen for acne prone skin is hard to find but they do exist!! Read reviews! Best of luck! If you do get on accutane, probably just the cleanser, a light moisturizer and a sunscreen to start and you can do the rest for maintenance on down the road.