This study will compare the quality of life between 2 groups, which are group that receive standard moderate acne therapy in addition of lesion extractions, and the second group which only receive standard moderate acne therapy without lesion extractions.

The group allocation will be randomized. Outcome of the study is the quality of life score based on Acne-QoL-INA questionnaire. The study duration is 8 weeks, consists of baseline visit and 2 follow ups at 4th and 8th weeks.

Inclusion Criteria:

• Clinically diagnosed as moderate acne vulgaris
• Able to read and speak in Indonesia
• Indonesian Citizen
• Sign the consent form

Exclusion Criteria:

• Pregnant of breastfeeding women
• Acne vulgaris lesion located only outside of face
• Experiencing COVID-19 symptoms
• Using retinoid acid containing cream or benzoil peroxide in the last 2 weeks
• Consume any oral antibiotics in the last 1 month
• Injected with intralesional steroid or having acne lesions extracted in the last 2 weeks
• Having laser or chemical peeling in the last 1 month