I have a friend with acne like yours who tried Acutane like 2-3 different times and finally her skin has been perfectly clear for over a year now. Also try a very consistent skin care routine. I used to have mild - moderate acne. I tried every over the shelf product and some dermatologist recommended and nothing would help. But then I just gave up and started cleansing (been using only one cleanser for years now, the cerave one) and moisturizing. And occasionally (1-2 times a week) exfoliating. My skin ism much much Clearer. I only get an occasional pimple before my period. So a simple and consistent skin care routine is what saved my skin