Don’t want to take Accutane a 2nd time for acne…
I’m so sorry but your problem is way too complicated for an email response. You clearly have suffered quite a bit with this acne and seen several dermatologists. I would highly recommend the Mayo Clinic in either Arizona or Minnesota. They both have excellent dermatology departments. An academic center (at a University) would be better in your situation. Look for the University nearest to you and make an appointment with the Dermatology department. Or see my list of the best dermatologists in the US.