Devices, kits and/or methods for, or related to, creating a plurality of openings in a skin graft or skin substitute are described. The devices can have a plurality of perforating elements extending from a perforation component that can be safely held and manipulated by a user. The user can apply sufficient force to the perforating elements against the skin graft or skin substitute to enable the extended ends of the perforating elements to pass through the skin graft or skin substitute as to create openings therethrough.
