So i took accutane before for 5 months on about a 80-90 mg dose (i weight around 180lbs) and it was clear and perfect for about 4 months and then started to get breakouts again. Slightly different type of acne, only white heads, but a lot of them. I am on antibiotics now minocycline 100mg a day and some topical stuff, but doesn't seem to be making it better. Just want my old clear skin back. Been thinking about going on accutane again, however I am deathly afraid of the initial breakout. Since I have been on it before, I know all about the initial breakout, and I had an awful one last round with many cystic pimples and it basically lasted 2-3 months before my face cleared up. I was just wondering if anyone had experience in this area of a second round and if the initial breakout was better or worse. Also have been reading about starting on a super low dose and building up even if it takes longer, but if that will reduce the initial breakout i think it would be worth it for sure. Appreciate any help and knowledge. Thanks!