Manual extractions can be helpful when done properly, but if done incorrectly they can cause scarring and broken capillaries. It really depends on the skill of the person doing them and your skin type.
The technology has gotten a lot better than the old-school manual squeezing method. I switched to a Hydra Facial specifically because the extractions are done with a gentle suction system instead of fingers or metal tools. Way less trauma to the skin and no bruising or marks afterward. It clears out the pores effectively without the damage risk. I've been happy with the results at https://bellasanamedspa.com/service/hydrafacial where they use the proper medical device for the Hydrafacial treatment.
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