Dr. Cetin used the Sapphire Punch to produce tiny incisions on the implantation area. Donor grafts, extracted from the back of the scalp, are then inserted into these incisions. To produce high density of implantation, the surgeon needs to make a large number of incisions on a small area.

Traditionally, most surgeons in Turkey use the micro-motor instrument to make implantation channels. Because of the shape of the micro-motor punch, the channels are large and U-shaped. When used for implantation, micro-motor causes a lot of unnecessary trauma to the scalp and due to the size of the channels, only up to about 40 of them can be made on a square centimeter of tissue.

The Sapphire Punch produces tiny V-shaped incisions. These are small enough, so that a donor graft only just fits inside and is immediately surrounded by tissue. This positively impacts graft survival rates and healing times. And because the incisions are small, up to 80-120 of them can be made on a square centimeter of tissue.