In many cases, the Huidzorg West skin therapists use a combination of the various treatment techniques. The most suitable treatment technique is assessed for each spot of skin. Dermatosis papulosa nigra are often small skin lesions, which usually make them easy to remove. By removing the dermatosis papulosa nigra, the skin will have a smoother and more even appearance. Curettage Curettage is the removal of benign skin defects using a sterile sharp ring. The skin is anaesthetised with a spray, after which the curette is used to scrape off the unevenness of the skin. Electro Coagulation During the electrocoagulation treatment, an electrical current is sent via a fine needle to the benign skin spot, this spot is heated and destroyed.A numbing cream can be used as a pre-treatment; this is especially recommended for larger areas or areas that are more difficult to treat, such as around the eye. Cryotherapy In cryotherapy, the skin spots are treated selectively by freezing the tissue. The aim of this therapy is to make the skin smoother and more even, and the spots become less visible or disappear. The skin then heals without scarring.