The inability to keep a fine sharp point on the usual type of acne stilet in use prompted me to devise the instrument shown in the accompanying photograph.
The handle consists of a small vise, manufactured by a large wholesale jewelry supply house.1 It has a chuck at each end. The needle, which is inserted in one end, is a regular Hagedorn straight surgical needle, with a fine sharp point and a cutting edge on one side. In the other end of the vise is fixed a portion of the usual acne stilet, which has been cut off and rounded to fit the chuck. The vise has approximately the same dimensions as a pocket fountain pen and is large enough to give the operator control of the instrument.
The main advantage of this stilet is the Hagedorn needle. These needles are inexpensive and can be replaced. Resharpening is unnecessary.
Schoch A. A NEW ACNE STILET. Arch Derm Syphilol. 1940;41(6):1108. doi:10.1001/archderm.1940.01490120110014
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