Executed by performing two quarter-circle forward motions and pressing all three punch buttons (or kick buttons in Ultra Street Fighter IV) while airborne, Dhalsim pauses briefly in the air, adopting an inverse lotus meditative posture, and stretches his arms diagonally downwards, attempting to grab his earthbound opponent. If successful, Dhalsim will grab the enemy's shoulders, complete with a cartoonish squirting background sound effect, and repeatedly uses them to pull himself headfirst into the opponent's head from above. On the final driving headbutt, he will also rotate like a drill.
The attack may be inspired by the arcane practice of trepanation, which involves drilling a hole in a person's skull to allow room for the brain to expand and attain enlightenment. In certain obscure Hindu cults, this hole is considered the "third eye".