How do you distinguish between lesions that require extraction and conditions to avoid when extracting acne?

Hello. I am a 30-year-old woman concerned about acne and enlarged pores. While looking into acne skin care consultations, I became curious whether extraction is a necessary treatment for all skin troubles. I suspect that even if they look similar on the surface, the findings assessed by medical professionals will differ, so I would like to know the criteria before the consultation.

How do you determine whether extraction is necessary when there are areas that look like white comedones or raised red bumps? I would also like to ask if other medical treatments are needed before extraction if the area feels painful to the touch or hard deep within the skin. I am curious whether it is acceptable to choose extraction simply because pores are visible, and how simple sebum is distinguished from lesions requiring treatment during a medical examination.

If extraction is deemed appropriate, could I be informed in advance about the scope of treatment for a single session and the criteria for stopping? I would also like to be informed about the risk of scarring or wounds, the guidelines for resuming cleansing and makeup immediately after the treatment, and the symptoms that require me to contact them if redness persists. Rather than making a judgment based solely on the attached photos, I would like to carefully confirm through an in-person consultation whether this treatment is necessary for my skin. I want to.