Do I have to get extractions done when I get acne treatment? I'm most worried about the pain lol

I was thinking about getting an acne treatment, but after seeing reviews about extractions, I'm hesitating again lol
I am really sensitive to pain, so if I have a breakout that hurts even from the slightest touch, I tend to just wait until it subsides.
However, as I left it like that, some lasted a long time, while others felt like they were still lingering inside when I touched them, so I started wondering if it would be better to just get it professionally treated.
Is extraction usually included as a standard part of acne treatment?
I am curious if you assess the condition of the skin that day and extract only the necessary parts, or if you perform a general cleansing method.
I'm worried about the pain if I extract a lot at once, but I'm also a little scared that my skin might turn too red after the treatment.
I often have to go to work the very next day, so it’s burdensome if it’s too noticeable for a few days.
For first-time patients, do you perhaps perform less extraction and proceed while monitoring the skin's reaction?
I don't mind if the results appear a little slowly, so I want to take care of my skin in a way that minimizes stress.
I am also curious about how to care for it at home after extraction.
I would like to know if I can continue using my usual skincare products, or if it would be better to keep my skin simple and focus on moisturizing or soothing for a few days.
Also, is there a significant difference between squeezing it yourself by hand and getting it extracted at a dermatology clinic?
I used to touch it at home whenever I felt frustrated, but it seemed to make the red marks last longer, so I'm trying not to touch it as much as possible these days.
If anyone has actually tried acne treatment after putting it off for so long because they were scared of extractions, I'm curious to know how painful it really was lol.
Please give me an honest review of whether it was better than expected after actually getting it, or if it was worth it for the result despite the pain.