After 2 failed trials with antibiotics, I was given low dose (20 mg) Accutane today at my dermatologist appt. I have cystic acne but only on my chin. It is persistent and responRAB to virtually nothing. I used Accutane about 15 years ago with excellent results. Now, it's time again. Who would have thought that this late in life I would need this. But I am tired of constant sore cysts, drying and ineffective creams, soaps, astringents. So today, I pulled the trigger. Hope it works out as well this time around.