I had really bad cystic Acne and my dermatologist was going to put me on accutane and then I thought my body is trying to tell me something that is wrong inside my body. I then began a search on the internet and came accross food allergies . I found out I had an allergy to wheat/gluten. Once I stoped eating it the cystic Acne went away. Please go to an allergist and do some research. Accutane has serious side effect and isn't always permanent!! There is probably an imbalance in your body somewhere and once you take care of that you can get rid of your acne.