YES it does matter the quality of the punch in my opinion. Trust me when I say if the punch you are used to is different or damaged you know it. There are now 3 types of punches commonly used now days and I’m sure there are more. The sharp edge, blunt edge, and the serrated edge punch tip. There are pros and cons with all of them in my opinion and here are some highlights: Sharp Edge: Pros: The original punch used. It is very effective in all skin types (soft tissue up to scar tissue). The punches are usually 1 time use however the super punches can remain sharp for more that one patient. If a person becomes efficient and successful with this punch(seriously low transection rates) then the individual should be successful with all punch types. Cons: High transection rates when performing within the learning curve. Bleeding can be cumbersome because the sharp edge cuts through vessels. The sharp punches are expensive and sometimes multiple punches are used per case. Blunt Edge Pros: The blunt edge came out close after the sharp edge punch. It is effective in most types of tissue but tumesence needs to be used in loose or elastic skin types. The blunt punch can be used for months and years as long as the tip is not damaged or warped. Bleeding is minimal because there isn’t a sharp edge which means vessels and structures are moved out over the way instead of cutting through them. The blunt punch is more forgiving in transection because there is less cutting and especially in extremely curly hair in African and Latin decents. Cons: The punch is sold by one company who has the patent. Until recently you could buy a single punch for $400 and that would last you for months to years. Well the company decided they needed to change to a disposable tip and charges between $360-$400 for 5 to 6 punches. This is very discouraging to practitioners who are used to the materials of the original punch. The disposables are not the same. Serrated Edge Pros: I personally do not have much exposure to this type of punch Cons: No opinion.