I would personally advise against Accutane.
Even for those who do not experience side effects at the time, can actually unknowingly have serious consequences like loss of bone, muscles, ligaments and vision.
Bone loss is especially bad for girls as this is the age when bone density needs to be built up so that when they get older they do not have to deal with osteoarthritis or osteoporosis.
My son had a terrible time with acne. It was so bad... especially his forehead, but it was an all over problem. His forehead was so read and inflamed, there were acne lesions on top of acne lesions.
I will tell you what worked for him.
Firstly I went to
http://wholehealthmd.com (my favorite place for alternative medicine!) and had him take Vitamin A, Zinc and flaxseed oil (Spectrum Essentials tastes best - even comes in cinnamon flavor and is sold for a great price at
http://luckyvitamin.com ), in addition to his regular daily vitamin.
I also stayed away from benzoyle peroxide products as they can be very drying and cause additional skin issues.
I decided to go with Ice Elements products as nothing else topically seemed to be working for him and Ice Elements was working so well for me that I figured it couldn't hurt to give it a go.
The most beneficial products in the line for him seemed to be the 2 minute miracle exfoliation gel and the souffle. Exfoliation keeps the pores clear of clogging contaminants, which helps to prevent further breaking out... plus the aloe in the product will help with antibacterial properties and to reduce redness and inflammation. My son used the 2 minute miracle at least 3 times a week, it can be used up to twice daily, and it helped so much! The souffle helps to speed the skin cells turning over, which hastens the healing on the surface and may also hasten bringing out some acne lesions that are ready to surface... Since acne usually takes about 30 days to come up through the skin layers it does take a while to clear up the skin.
He used other products in the Ice Elements skin care line, but really the actual products needed will depend on individual skin type and reaction so I hesitate to mention his full regimen as it may not be appropriate for those reading. If interested in the line, you can have products chosen for you by Shelly, Brenda or Frankie by visiting the site message board or calling them.
http://iceelements.com
For any product line that you choose, I would suggest looking for a gentle exfoliant. If you can get something with aloe vera and tea tree oil these may be helpful for both healing and antibacterial, which will help to keep the acne from spreading.
Also change pillowcases often. The bacteria from the acne lesions can spread.
Keeping the face clean of sweat - hair off of the face, no hats, etc. is helpful for clearing the skin as the oils and sweat held in place by hair and hats causes a breading ground for bacteria which is a feast for acne.
Lessening the amount of sugar consumed is also helpful as sugar feeds yeast and yeast can promote acne growth. Beer can have a similar effect, and spicy foods should be reduced as well. Drinking plenty of water or non sugary drinks, such as green tea will help to thin sebum. The thicker the sebum the more likely for clogged pores.
Watch out for anything that causes overdrying or flaking of the skin. Skin that is dry can appear falsely oily as the skin produces too much oil to overcompensate for the use of drying products.
Males should use regular razors on their face, as opposed to electric razors. Continual use of electric razors could cause more acne as the design of the blades, along with the length of time they are used before being replaced, is a breeding ground for bacteria and will just spread it around the face and keep reintroducing bacteria that you are trying to get rid of. Changing a blade once a week or once every other week really helps.
Anyone over 16 may also benefit from using an aspirin mask. Children under 16 should not use one due to the risk of Reyes Syndrome. It is a make at home mask that I would be happy to write the directions for if anyone is interested.
I have also heard people who have had great results with nanocyclic soap. I am not familiar with the product but mention it as I have heard a ton of positive results that have been too numerous to ignore. You could google it to learn more about it, if interested.
Good luck!