A curettage biopsy is rarely used although it is very useful in certain difficult to reach anatomic locations. A curette is a metal instrument with a long slender handle having a circular tip that is sharp on one side. It is ideal for doing a biopsy in a crevice such as the conchal bowl of the ear. Essentially, it “scoops out” a plug of skin. I routinely use curettes to even out a biopsy of a raised lesion as it can remove any residual skin so the lesion is flush with the surrounding skin.