ZemGlam before and after every use, and always remember - be gentle! 5 Safe Steps To Use: Step1: Clean face fully with facial cleanser. Step2: Use warm towel or Facial steamer to open pores, it will get better effect. Step3: Disinfect the needles and rings with medical alcohol fully. Step4: Pierce the maturing acne gently by suitable needles, then press down slowly with ring. Step5: Clean acne area by distilled or anti-inflammatory water,then wipe it. Precautions: 1: Confirm whether the acne is mature, if the acne is till inflamed, feels stubborn and a little pain, At this situation, please don't use any extractor, it will make thing worse; 2: Facial redness: You have to press the skin when using the remover tool, so the face is red afte each use, will disappeared after a short period of time; 3: Scars left: If the tool did not be disinfected before use or be contaminated by the skin bacteria may cause these issue, please use the tea tree or lavender essential oil, it will help the marks and inflammatory subsided.