You may still have a fluctuation in hormones.

But i would not go on accutane. Especially with only 8 spots of acne. See a dermatologist and he will more than likely try you on an antibiotic or topical cream. That should probably work.

I think accutane should be a last resort and not used for a minor case. I had at least that many cystic zits on my shoulders alone when i started accutane. My back had them all over. I tried everything for ears and it was a last resort but im happy i did it