I've always just took a sharp needle and pried them out if they are attached. Just poke right where they are attached and lever it out. Hurts a little but I've always found that the easiest way. If in the scalp or somewhere else that I can't get a visual, then the wife gets to have some fun poking the needle. Dang woman tends to dig a little deeper than needed in my opinion. Smiles a little too much too!