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The most common mechanism of stimulation of acupuncture points employs penetration of the skin by thin metal needles, which are manipulated manually or the needle may be further stimulated by electrical stimulation (electroacupuncture).[2] acupuncture needles are typically made of stainless steel, making them flexible and preventing them from rusting or breaking.[47] needles are usually disposed of after each use to prevent contamination.[47] reusable needles when used should be sterilized between applications.[47][48] needles vary in length between 13 to 130 millimetres (0.51 to 5.12 in), with shorter needles used near the face and eyes, and longer needles in areas with thicker tissues; needle diameters vary from 0.16 mm (0.006 in) to 0.46 mm (0.018 in),[49] with thicker needles used on more robust patients. Thinner needles may be flexible and require tubes for insertion. The tip of the needle should not be made too sharp to prevent breakage, although blunt needles cause more pain.[50]
apart from the usual filiform needle, other needle types include three-edged needles and the nine ancient needles.[49] japanese acupuncturists use extremely thin needles that are used superficially, sometimes without penetrating the skin, and surrounded by a guide tube (a 17th-century invention adopted in china and the west). Korean acupuncture uses copper needles and has a greater focus on the hand.[39]