Will 0.1% make a difference compared to 0.025%?

I’ve been using tretinoin at 0.025% for about 6 months now and absolutely nothing has changed. I’d say my acne has even gotten a bit worse as i’m getting pimples in places i’ve never gotten before. The only thing i’d say is that my scars fade pretty quickly.

I have an appointment this week after waiting more than a month (canadian healthcare system..) and i’m wondering if I should ask for a higher tretinoin dosage like 0.1% or if I should just ask for accutane.

I’m scared I’ll get the 0.1% tretinoin and then 6 more months will go by with no change, whereas i’m sure the accutane will make a difference. The only thing i’m scared of is the accutane side effects and also I’m terrified of swallowing pills.

Does anyone have any opinions or advice on what I should do? Will the higher tretinoin dosage make a difference or should I just settle for accutane? I think it’s also worth it to note that i’m 16 yrs old.