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When to Consider It Accutane isnt usually your first stop, but it might be the right call if youre dealing with: Severe or nodular acne that wont quit Scarring or dark spots from recurring breakouts Acne that hasnt responded to other treatment options (like oral antibiotics or retinoids) A skin journey thats starting to affect your confidence If that sounds familiar, your dermatologist can walk you through whether its time to give this a go