Methods and an apparatus for extracting an underlying sebum of a pilosebaceous unit for the treatment of acne or closed comedones is disclosed. The method includes placing a vacuum suction pressure device on a surface of a skin area to be treated for an acne condition, applying the vacuum suction pressure on the surface of the skin area to pull the skin area into an aperture opening of the vacuum suction pressure device and to extract an underlying sebum of the pilosebaceous unit, puncturing the surface of the skin area containing at least one pilosebaceous unit with at least one micro-needle insert unit recessed into the aperture opening of the vacuum suction pressure device to create a lesion on the pilosebaceous unit and applying a subsequent dose of vacuum suction pressure or an application of broad band light to the skin area to be treated.
