I had SEVERE facial and back/chest acne from high school years til around age 20.
When I joined the Air Force at age 18 when my acne was most severe... I had to put up with it all through basic training, which was horrible... (hard to shave), and very uncomfortable in general. I turned 19 in basic.
When I got to my base (Charleston, S.C.), I kept putting up with my acne for close to another year... til I almost 20 or so.
I decided to get help. So I went to the dermatoligist at Ft. Jackson, N.C. (we didn't have one at Charleston), and I was prescribed the strongest dose of Accutane.
I had to drive up there for progress reports and lipid level/cholesterol checks (dunno if they still do that, but she wanted to check my blood when I visited her).
Anyway, after 4 months (almost exact) of religious use of the Accutane, and moisturizer for my dry skin.. I was almost clear of my acne. My back and chest cleared up as well as my face.
It took many many months after all my acne was gone, for my skin health to get regular again and for the redness to go away. I have minor pitting but it's nothing bad my face looks pretty good actually. Nothing interfered with facial hair growth either, some people think that treatment will mess it up somehow.
So, I believe Accutane is a MIRACLE drug when used according to directions from a doctor. I haven't had a zit since ! I'm 27 years old now.
I loved Accutane for what it did to help me.. and I HIGHLY SUGGEST anybody with moderate to severe acne on the face/chest/back GET ON ACCUTANE !
It comes in 3 strengths I believe.. I was on the strongest.
The sh*t dries you up badly though so using moisturizers is essential!