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Dermatology Instruments

Instruments for dermatological and minor skin surgery: Fox dermal curettes in 1mm to 6mm cup diameters, Piffard curettes in three sizes, Keyes dermal punches, comedone and acne extractors, nail splitters with anvil, and Freeman flap and rake retractors.

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  • Walton Comedone Extractor 14cm
    $45.81 - $45.81
    $45.81
    $45.81 - $45.81
    $45.81

    Walton Comedone Extractor 14cm

    The Walton Comedone Extractor is a 14cm dermatologic instrument with a fine loop and lancet end for expressing comedones and small lesions. German ...

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    $45.81 - $45.81
    $45.81
    $45.81 - $45.81
    $45.81
  • 8" Freeman Flap Retractor, 1/2" wide
    $0.00 - $0.00
    $0.00
    $131.04
    $131.04 - $131.04
    $131.04

    8" Freeman Flap Retractor, 1/2" wide

    The 8" Freeman Flap Retractor with a 1/2" wide blade is a surgical instrument designed for gently holding back soft tissue or skin flaps during pro...

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    $0.00 - $0.00
    $0.00
    $131.04
    $131.04 - $131.04
    $131.04
  • 8'' Freeman Flap Retractor, 1'' wide
    $0.00 - $0.00
    $0.00
    $131.04
    $131.04 - $131.04
    $131.04

    8'' Freeman Flap Retractor, 1'' wide

    8" Freeman Flap Retractor with a 1" wide blade is a surgical instrument used to hold back soft tissue and skin flaps during procedures. Its sturdy ...

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    $0.00 - $0.00
    $0.00
    $131.04
    $131.04 - $131.04
    $131.04
  • 7" Freeman Rake Retractor, 7/8" wide.
    $0.00 - $0.00
    $0.00
    $131.04
    $131.04 - $131.04
    $131.04

    7" Freeman Rake Retractor, 7/8" Wide

    The 7" Freeman Rake Retractor with a 7/8" wide blade is a versatile surgical instrument used for soft tissue retraction in orthopedic and general s...

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    $0.00 - $0.00
    $0.00
    $131.04
    $131.04 - $131.04
    $131.04
  • 6 1/4" Piffard Dermal Curette, size 3 (6mm)
    $0.00 - $0.00
    $0.00
    $86.69
    $86.69 - $86.69
    $86.69

    6 1/4" Piffard Dermal Curette, size 3 (6mm)

    "6 1/4" Piffard Dermal Curette, Size 3 (6mm) ? looped, sharp-edged instrument for precise skin lesion removal and dermal curettage."

    $0.00 - $0.00
    $0.00
    $86.69
    $86.69 - $86.69
    $86.69
  • 6 1/4" Piffard Dermal Curette, size 2 5mm
    $0.00 - $0.00
    $0.00
    $86.69
    $86.69 - $86.69
    $86.69

    6 1/4" Piffard Dermal Curette, size 2 5mm

    "6 1/4" Piffard Dermal Curette, Size 2 (5mm) ? sharp, looped-edge tool for controlled curettage of skin lesions and dermatologic procedures."

    $0.00 - $0.00
    $0.00
    $86.69
    $86.69 - $86.69
    $86.69
  • 6 1/4" Piffard Dermal Curette, size 1 3mm.
    $0.00 - $0.00
    $0.00
    $86.69
    $86.69 - $86.69
    $86.69

    6 1/4" Piffard Dermal Curette, size 1 3mm.

    "6 1/4" Piffard Dermal Curette, Size 1 (3mm) ? sharp, looped curette ideal for delicate skin lesion removal and precise dermal scraping."

    $0.00 - $0.00
    $0.00
    $86.69
    $86.69 - $86.69
    $86.69
  • 5" Nail Splitter Forceps
    $0.00 - $0.00
    $0.00
    $124.99
    $124.99 - $124.99
    $124.99

    5" Nail Splitter Forceps

    A sophisticated podiatric tool called the 5-Nail Splitter Forceps is made to separate thick or ingrown nails precisely. It is perfect for delicate ...

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    $0.00 - $0.00
    $0.00
    $124.99
    $124.99 - $124.99
    $124.99
  • 5 1/2" Fox Dermal Curette, 6mm Diameter
    $0.00 - $0.00
    $0.00
    $60.48
    $60.48 - $60.48
    $60.48

    5 1/2" Fox Dermal Curette, 6mm Diameter

    "5 1/2" Fox Dermal Curette, 6mm ? sharp, spoon-shaped loop designed for precise scraping and removal of skin lesions and tissue."

    $0.00 - $0.00
    $0.00
    $60.48
    $60.48 - $60.48
    $60.48
  • 5 1/2" Fox Dermal Curette, 5mm dia.
    $0.00 - $0.00
    $0.00
    $60.48
    $60.48 - $60.48
    $60.48

    5 1/2" Fox Dermal Curette, 5mm dia.

    5 1/2" Fox Dermal Curette with a 5mm diameter tip is a precision surgical instrument used for scraping or debriding skin lesions and tissue. Ideal ...

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    $0.00 - $0.00
    $0.00
    $60.48
    $60.48 - $60.48
    $60.48
  • 5 1/2" Fox Dermal Curette, 4mm dia
    $0.00 - $0.00
    $0.00
    $60.48
    $60.48 - $60.48
    $60.48

    5 1/2" Fox Dermal Curette, 4mm dia

    5 1/2" Fox Dermal Curette with a 4mm diameter is a precision surgical instrument used for scraping skin lesions or tissue during dermatological pro...

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    $0.00 - $0.00
    $0.00
    $60.48
    $60.48 - $60.48
    $60.48
  • 5 1/2" Fox Dermal Curette, 3mm dia.
    $0.00 - $0.00
    $0.00
    $50.40
    $50.40 - $50.40
    $50.40

    5 1/2" Fox Dermal Curette, 3mm dia.

    5 1/2" Fox Dermal Curette with a 3mm diameter is a surgical instrument used for precise scraping or debriding of skin lesions, cysts, and other der...

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    $0.00 - $0.00
    $0.00
    $50.40
    $50.40 - $50.40
    $50.40
  • 5 1/2" Fox Dermal Curette, 2mm Diameter
    $0.00 - $0.00
    $0.00
    $50.40
    $50.40 - $50.40
    $50.40

    5 1/2" Fox Dermal Curette, 2mm Diameter

    5 1/2" Fox Dermal Curette with a 2mm diameter is a surgical instrument used for precise scraping or debridement of skin lesions, such as warts or g...

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    $0.00 - $0.00
    $0.00
    $50.40
    $50.40 - $50.40
    $50.40
  • 5 1/2" Fox Dermal Curette, 1mm Diameter
    $0.00 - $0.00
    $0.00
    $50.40
    $50.40 - $50.40
    $50.40

    5 1/2" Fox Dermal Curette, 1mm Diameter

    5 1/2" Fox Dermal Curette with a 1mm diameter is a precision surgical instrument used for scraping skin lesions, removing tissue, or debriding woun...

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    $0.00 - $0.00
    $0.00
    $50.40
    $50.40 - $50.40
    $50.40
  • 4 x Keyes Dermal Punch, 5mm
    $0.00 - $0.00
    $0.00
    $60.48
    $60.48 - $60.48
    $60.48

    4 x Keyes Dermal Punch, 5mm

    Four 5-mm-diameter Keyes Dermal Punches are perfect for accurate skin biopsies and lesion removal. Every punch has an ergonomic handle and a sharp,...

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    $0.00 - $0.00
    $0.00
    $60.48
    $60.48 - $60.48
    $60.48
  • 4 x Keyes Dermal Punch 4mm
    $0.00 - $0.00
    $0.00
    $60.48
    $60.48 - $60.48
    $60.48

    4 x Keyes Dermal Punch 4mm

    Set of 4 Keyes Dermal Punches, each with a 4mm diameter, ideal for precise skin biopsies and minor surgical procedures. These stainless steel instr...

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    $0.00 - $0.00
    $0.00
    $60.48
    $60.48 - $60.48
    $60.48
  • 4 x Keyes Dermal Punch (2mm)
    $0.00 - $0.00
    $0.00
    $60.48
    $60.48 - $60.48
    $60.48

    4 x Keyes Dermal Punch (2mm)

    Set of 4 Keyes Dermal Punches, each with a 2mm diameter, ideal for performing precise skin biopsies and minor dermatological procedures. These stai...

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    $0.00 - $0.00
    $0.00
    $60.48
    $60.48 - $60.48
    $60.48
  • 4 1/4" Saalfield Comedome Extension with Acne Lancet
    $0.00 - $0.00
    $0.00
    $35.28
    $35.28 - $35.28
    $35.28

    4 1/4" Saalfeld Comedone Extractor with Acne Lancet

    "4 1/4" Saalfield Comedone Extractor with Acne Lancet ? dual-ended tool for safe and effective removal of blackheads and acne lesions."

    $0.00 - $0.00
    $0.00
    $35.28
    $35.28 - $35.28
    $35.28
  • 3 3/4" Schaumberg Comedome Extr. standard, ex-fine.
    $0.00 - $0.00
    $0.00
    $41.33
    $41.33 - $41.33
    $41.33

    3 3/4" Schamberg Comedone Extractor - Standard, Extra Fine

    "3 3/4" Schaumberg Comedone Extractor ? standard handle with extra-fine loop for precise removal of comedones in dermatologic procedures."

    $0.00 - $0.00
    $0.00
    $41.33
    $41.33 - $41.33
    $41.33
  • Unna Double Comedone Extractor 14cm
    $28.01 - $28.01
    $28.01
    $28.01 - $28.01
    $28.01

    Unna Double Comedone Extractor 14cm

    The Unna Double Comedone Extractor is a 14cm dermatologic instrument with two working ends sized for expressing comedones and milia. German surgica...

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    $28.01 - $28.01
    $28.01
    $28.01 - $28.01
    $28.01
  • Schamberg Comedone Extractor 10cm
    $26.42 - $26.42
    $26.42
    $26.42 - $26.42
    $26.42

    Schamberg Comedone Extractor 10cm

    The Schamberg Comedone Extractor is a 10cm dermatologic instrument used to express comedones and milia with minimal trauma. Built from German surgi...

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    $26.42 - $26.42
    $26.42
    $26.42 - $26.42
    $26.42
  • Saalfeld Comedone Extractor 10cm
    $28.01 - $28.01
    $28.01
    $28.01 - $28.01
    $28.01

    Saalfeld Comedone Extractor 10cm

    The Saalfeld Comedone Extractor is a 10cm dermatologic instrument with a small loop end and lancet end for expressing comedones and milia. German s...

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    $28.01 - $28.01
    $28.01
    $28.01 - $28.01
    $28.01
  • Nail Splitter Fig. 59 Small 2mm 5" Satin
    $47.45 - $47.45
    $47.45
    $47.45 - $47.45
    $47.45

    Nail Splitter Fig. 59 Small 2mm 5" Satin

    Nail Splitter Fig. 59 with a 2mm working tip and 5 inch overall length, satin finish to reduce glare. German surgical-steel construction for clean ...

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    $47.45 - $47.45
    $47.45
    $47.45 - $47.45
    $47.45
  • Nail Splitter Anvil 13cm
    $99.41 - $99.41
    $99.41
    $99.41 - $99.41
    $99.41

    Nail Splitter Anvil 13cm

    Anvil-style nail splitter, 13cm overall length, with a flat lower jaw and cutting upper blade for clean division of the nail plate in podiatric pro...

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    $99.41 - $99.41
    $99.41
    $99.41 - $99.41
    $99.41

Curette or punch? It decides whether you get a diagnosis

This is the choice that matters most on this page, and it is not about size.

A dermal curette scrapes the lesion off at the level of the dermis. It is quick, bleeds little, heals with good cosmesis, and needs no closure. But it fragments the tissue. A pathologist receiving curettings can often identify the cell type and can almost never read the margin or the depth of invasion.

A dermal punch takes a full-thickness cylinder with the architecture intact - epidermis, dermis, and the junction between them in their real relationship. That is what makes depth and margin readable. The cost is a wound that usually needs a suture.

So: if the lesion is being removed, a curette is often the better instrument. If it might need diagnosing - anything pigmented, anything ulcerated, anything that has changed - the punch is the instrument, and reaching for the curette first can cost the specimen that would have answered the question.

Sizing a Fox curette

The number on a Fox curette is the cup diameter, not the handle or the shaft: 1mm, 2mm, 3mm, 4mm, 5mm and 6mm are all stocked here.

The rule is the smallest cup that still seats over the lesion. An oversized cup does not scrape more efficiently - it catches surrounding normal skin at the rim, and instead of lifting the lesion cleanly it tears across the boundary. That is the commonest reason a curettage leaves a worse scar than it should have.

Piffard curettes cover the same ground with a heavier handle and three sizes (3mm, 5mm, 6mm), which suits a firmer scrape on thicker skin.

Why a nail splitter has an anvil

Cutting a nail plate with ordinary scissors presses the plate down into the nail bed as the blades close. On an already inflamed or infected toe that is the painful part of the procedure, and it is avoidable.

A nail splitter puts one thin blade underneath the plate and a flat anvil above it. The anvil absorbs the closing force instead of the nail bed, so the plate is divided in place rather than levered. The 2mm Fig. 59 pattern suits a partial nail avulsion; the 13cm anvil pattern is for a full split.

Comedone extractors

Saalfeld, Schamberg, Unna and Walton patterns, in 10cm and 14cm, single- and double-ended. The differences are the loop size and whether the instrument carries an acne lancet at one end - a lanced lesion extracts with far less pressure, which is what protects against the bruising and secondary scarring that heavy-handed extraction causes.

Frequently asked

Are these reusable? Yes - reusable, autoclavable instruments throughout. Disposable punches are a separate category.

What is the difference between a Keyes punch and a Fox curette? The Keyes is a punch: a cylindrical cutting edge that cores. The Fox is a curette: a sharpened cup that scrapes. They are not alternatives for the same job - see the first section.

Do the Freeman retractors belong in dermatology? They are flap and rake retractors used in plastic and reconstructive work on skin, which is why they sit here rather than with the abdominal retractors.

Related collections

See also Surgical Curettes, Surgical Knives & Knife Handles, Surgical Scissors and General Surgery Instruments.