[Acne] [Routine Help] Super persistent acne for YEARS

For context, I started breaking out when I was 12 or 13. I used to have it really bad on my back and chest, and on my face it was mostly the worst on my forehead. My ache was its worst when I was around 15 or 16, when it was my entire forehead, around my nose, and the sides of my face as well as my back and chest. I went on accutane (60 mg i think for about 5 months) but after stopping, it came back three months later on my forehead (not my back or chest) and I went on it (30 or 40 mg for about 7 months i believe) again. My last pill was about a year and a half ago. I don't really have super bad face acne (no where near how it was the first time) but I still breakout often on my forehead. I also recently over the summer have been experiencing bad chest acne (but no back) so I'm thinking it could be because of sweat, but I'm worried my acne is coming back slowly. I also use tretinoin on my face nightly, in addition to the following routine: Morning: Wash with la roche posay foaming cleanser apply ordinary hylaronic acid and niacinamide serum apply cerave eye cream apply cerave daily lotion apply elf sunscreen (if i'm going outside) Night: wash with cerave foaming cleanser apply tretinoin cream I really don't know why my acne keeps coming back. I don't wear makeup often at all. Any advice or products or anything at all is helpful. I feel like l've tried everything but nothing has finally solved the issue