I've been on Accutane twice.. and though I am older I still break out! Some of the birth control pills helped (Ortho Tri-Cyclen, but if I missed a pill and had to take two in a day a zit popped up!). Interestingly enough, Ortho Tri-Cyclen Lo made my skin break out horribly. The newest findings are that food actually DOES affect acne, specifically dairy, because of all the hormones, not just added but those that occur naturally (the cow is pregnant, after all!). I found cutting out dairy and sugar helps tremendously, to the point other people have complimented my skin... seeing is believing. But I love pizza so it's not a permanent option!