Acne vulgaris, commonly known as “pimples,” is a chronic inflammatory skin disease common in adolescence. Its development is mainly related to androgen levels, increased secretion of sebaceous glands, hyperkeratosis of hair follicle sebaceous duct openings, and Propionibacterium acnes infection. The main manifestations are red papules, pustules, cysts and nodules on the face and chest and back, which seriously affect the patient’s outward appearance and self-confidence. Treatment is based on lipid control, dissolving keratin, sterilization, anti-inflammation and regulation of hormone levels. Does acne need to be treated? For the treatment of acne, some patients and some doctors believe that acne does not need to be treated and can be cured by itself after puberty without treatment. This view is incorrect. If acne is not actively treated, it will leave pits and marks, causing permanent marks on the patient’s face and lifelong regrets. Therefore, I personally believe that acne should be actively treated. Of course the choice of treatment plan must be individualized. How to make an individualized plan for each patient? In order to facilitate the selection of a treatment plan, acne is divided into mild, moderate and severe, and the corresponding graded treatment measures are taken. For mild acne, which is mainly acne, topical treatment is usually used, applying drugs with the effects of keratin exfoliation, dissolving acne, inhibiting sebum secretion and antibacterial and anti-inflammatory effects, such as adapalene, peroxymetholone gel, erythromycin isotretinoin gel, etc., or combined with fruit acid skin treatment, can achieve better results. It can also be combined with physical treatment such as acne picking, bloodletting at the ear tip, cupping at the large spine, etc., which can also be improved significantly. For moderate acne with a large number of pimples, inflammatory papules and pustules, the effect is ideal with fruit acid treatment or oral isotretinoin or memantin or Chinese herbal medicine, but with attention to hydration and sun protection; or combined with fire acupuncture, bloodletting at the ear tip and cupping at the large vertebrae will achieve rapid and satisfactory results; or combined with photodynamic therapy for better results. For severe acne with nodules, cysts, and scarring, oral isotretinoin soft capsules combined with fire acupuncture treatment will provide fast results and lasting consolidation, but oral isotretinoin treatment should be maintained for more than 4-6 months. The effect of fractional laser or fire needling combined with photodynamic therapy is satisfactory, and satisfactory results can be achieved once every 2 weeks for 3 consecutive times. The effect of fractional laser or fire needling is mainly drug delivery effect to promote the absorption of photosensitizer, and also has a rapid local anti-inflammatory effect. How to take care of the face of acne patients? The face of acne patients tend to be greasy, pay attention to eat less greasy sweet food, spicy stimulation, pay attention to facial hydration, oil control. After oral isotretinoin pills may appear dry skin mucosa, local topical moisturizer can be used to relieve local skin dryness; oral minocycline pay attention to sun protection to prevent photosensitivity. Acne treatment is recommended under the guidance of a doctor to develop an individualized treatment plan, it is important to adhere to. Pay attention to maintain a good state of mind, regular life, avoid staying up late and spicy stimulating diet as well as facial hydration and sun protection, will effectively solve the face of acne patients.