Ehh. I took accutane in HS for acne (non-steroid related) and I had clear skin after it, but I came off of it a few weeks early because it fucked me up pretty good. (liver values, extremely dry skin, etc).
It's a great drug for getting rid of acne, but it's ridiculously harsh. It should ONLY be used as a last resort, in my [limited] opinion.
The only time I had acne come back (other than a stray pimple here and there) was the first two weeks of my cycle, and then during my SERM PCT.