Microblading is performed with a grouping or configuration of needles affixed to a handle to manually create lines that resemble eyebrow hairs. Manual methods of tattooing have been used through the ages, and the tools have gone through changes over time from pre-historic sharpened stones to the hand tool devices currently being used. An actual scalpel or cutting-type blade should not be used under any circumstances as these are considered medical devices and cannot legitimately be used for this process. Any hand tool device (i.e., both handle and attached needles) used for microblading should be pre-sterilized and fully disposable.