Absolutely a wonderful tool there damascus.
My Father used to say, back in the sixties, that "You can't have both hair & brains". Once again the hairy youth proved that assumption wrong.

You would be surprised really at the amount of time a skilled hand takes to do such a job.
Done many times before & trained on all the tricks & knowledge from generations of artisans coming up through the trade it becomes a smooth deliberate action. Efficiency of moves & the right tools coupled with that knowledge of how to use them would make the job look simple in the hands of a master.
O.M