By all means discuss this with your dermatologist
and share your frustration. There are other options besides
Accutane. If you do take
Accutane, you will need regular blood tests to check your liver and your cholesterol and triglycerides. You will also need to register with the Federal iPledge program, or else no pharmacy can dispense the medication.
When Accutane is given for the kind of acne you say you have, it may clear things up, only to have the acne return several months later.