. Adolescents with acne in physical appearance that doesn\u27t like the ideal appearance, is said that have confidence when he can accept realistically, still feel grateful and act positively while low confidence if these adolescents are not satisfied, embarrassed, disappointed, and rejected themselves. Acne vulgaris is the inflammation of the sebaceous follicles characterized by comedones, papules, pustules, cysts and nodules on the face, neck, upper trunk and upper arms. Acne is troubling because it is related to the degradation of self confidence due to the beauty of the face.This study aimed to analyze the relationship between the level of confidence with acne. This type of study is correlational with cross sectional approach. The subjects are SMAN 7 Manado students who have acnes with 90 respondents chosen by purposive sampling. Spearman Rank analysis techniques is used to.The results showed that the correlation coefficient between acne with confidence at -0.068, meaning the relationship between acne and confidence is negative which the closeness of the correlation is very weak (<0.20) so that it canbe said there is no significant relationship between confidence with acne (Sig = 0.523). It means, the physical appearance in this case the acne is not the only factor affecting confidence. Self-concept, experience, education is the internal factors and their parents, peers and the community are the external factors that can affect confidence. Respondents with high self confidence eventhough have acnes are not oriented on their physical appearance alone, , because they feel confident in the ability and potential for him in other things