In the early 1990s when I pioneered small follicular units in large sessions, many doctors could not place the grafts with forceps in these tiny holes, so they purchase NAILS from a hardware store, and used them as dilators to open these little holes so that they could get the grafts into the balding area. This was barbaric, but the doctors who did this, did this because they had to. Their patients wanted large sessions of small grafts because it became the new Standard of Care that everyone wanted. I hope that they sterilized the nails before they use it. Dr. Brad Wolfe sent these to me as a reminder of things done in the past (not by him but by others).