Daily cleansing is important to get rid of surface impurities and makeup. This one step will get rid of bacteria which causes acne.
The sebum inside the pores however needs to be extracted regularly so that the bacteria has no reason to breed and has nothing to feed on. Oily skins which have an overactive sebaceous gland -> extractions and deep cleaning will help control this.
Extraction refers to the process of clearing clogged or obstructed pores, also known as comedones (i.e. Blackheads and Whiteheads and different kinds of acneic eruptions) from the skin. Without extractions a face treatment is incomplete. Getting them removed will reduce re occurrence by removing the bacteria which causes them.
Most all skins get clogged with sebum, dust, grime and dead skin. Clogged pores result in dull skin and non penetration of serums.
For severe acne it's best to consult a dermatologist for medical intervention. However in parallel, extractions can be done to avoid acne scars.
The temptation to pick these at home can lead to scarring, so it's best left to a professional. I say this as extractions are only to be performed with very careful, experienced hands and sterile equipment.
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