Acne vulgaris and acne-like disorders such as gramnegative folliculitis (herein preferred as acne for the entire article), are uncomfortable facial skin problems that possesses a prevalence of 80% in adults 1 . This disease significantly decreases the patient self-confidence and self-esteem, especially in teenagers. There are 4 common causes of acne, namely high sebum production, pilosebaceous follicles keratinization, uncontrolled bacterial growth, and immune-response inflammation. Among them, acne caused by bacteria such as the gram-positive Staphylococcus aureus (S. aureus) (for acne vulgaris) and gram-negative Escherichia coli (E. coli) (for gramnegative folliculitis), are often serious and demand urgent treatments 2-5 . Nevertheless, these treatments, including topical benzoyl peroxide, topical/oral antibiotics, topical retinoids, and isotretinoin, although effective, cause lots of unwanted side effects that pose a significant health risks in patients [6][7] . Thus, numerous alternative approaches have been investigated, namely utilizing the natural plant extracts [8][9][10][11][12][13] . For instance, the green tea polyphenols demonstrates antibacterial action in acne infections and reduce the dermal sebum secretion 11 . To this end, an interesting plant that has gained much attention is the Piper betle L.Belong to the family Piperaceae, Piper betle (Betel vine, Betel, Betle, "Trầu không" [in Vietnamese]), originated from Central and East Malaysia and has been cultivated for more than 2500 years [14][15] , is a popular plant in