[Routine help] What is going on with my skin? Is it time for accutane?

Beauty Tips For Body Care
My skin seems to break out like this every week, and red marks tend to stay for weeks. I’m not sure what to do anymore because I’ve tried many different products within years.My current routine:AM: Wash with sulfo lo cleansing barCerave daily moisturizing lotionPM: Wash with sulfo lo cleansing barCerave daily moisturizing lotionFollowed by Tretinoin 0.05%I know it’s not some crazy routine like others have, but i don’t know much and i just listen to my dermatologist. Around the mouth area is definitely effected the most. Maybe it has to do w/ shaving but I use pretty good products and am careful.Picture
Girls Blog 2015
Submitted by PM_ME_UR_EYEHOLES