I worked in the cosmetics/skincare industry for years and I've seen every type of skin concern there is. The best advice I can give you is to avoid accutane unless you are truly desperate and without hope. It is meant to be used on people who have such terrible acne that they can't even leave the house because of the shame their skin causes them.
It sounds like you've tried a lot of pills and creams, but have you tried changing your diet? Some people have incredibly reactive skin and that may be what's causing your issues.
Also, less is often more when it comes to products - check out Paula's Choice. They make great products and if you email them explaining your situation (you can even include photos of your skin) they can help you select products for you.
Either way, I hope you find a solution.
