Accutane is the absolute last solution that you want to use for acne. There are a lot of side effects and is usualyl only used for severe acne.
Depending on how old you are, myself I am 19 and I use Differin. I would ask your dermatologist about that instead. The nice thing about Differin (
http://www.differin.com/teens/index.shtml) is that it is a topical cream so you can localize where you put it. Accutane is a pill and can severely dry out your skin/scalp all over your body. I would try the Differin and see how that goes for about 3 weeks and if using that does not clear anything up, Accutane might be your last resort.
Hope this helps.
P.S. I use a combination of Differin and Duac Gel. I have found that Duac Gel is not very good alone but in combination with Differin it can be effective.