For regular fuses I get by just fine by using my hydraulically actuated Jaws of life to gently pinch the fuse. Then I give it a slight pull and I am usually good to go. I have to do this fast, because the longer I take the faster my facial hair grows and the deeper my voice gets. If my voice gets too deep it scares those around me when I talk, so I "balance the scales" so to speak by using the regular plastic "girly" fuse extractor for every other fuse extraction.
If there are any fuses putting up a fight because of corrosion on the blades, I hook a come-a-long to a D-ring that I welded to the back end of the Jaws of life. That gets me the extra pull I sometimes need to get the job done. I have to be careful though, because if any woman sees me do it that way she becomes instantly pregnant.
NOTE- These are just stock pictures from the internet, not my personal fuse extraction tools. I am not posting actual tools, because just the sight of them increases female fertility beyond what even birth control pills can counteract. I do not want to be responsible for causing a GarageJournal baby boom.
NOTE 2- All this being said, grinding a slight notch on the inside of both tips of a spare pair of needle nose pliers is another perfectly viable option that is still manly enough for most.