I use a proxxon with a proxxon mini press.
https://www.proxxon.com/us/micromot/38472.php
Used a Dremel 395 and Dremel mini press for a few years but ...the runout started to get costly with small carbide bits...
So now I use the dremel for grinding, polishing or cutting and the high speed Proxxon for PCB work alone.
Modified the Proxxon press with a white light LED shining up from the base hole to back light PCBs when drilling, also modified the movable V clamp ( with an additional clamping screw) to allow for drilling concentric holes in small connectors to allow for wider diameter cabling.
I use a benchtop press with a laser cross hair for handling metal and wood working items upwards of 1/8" diameter.
This documents how I do PCBs...
https://hackaday.io/project/7938-pcb-smt-maker-lab-home
Including cutting the boards and handling the dust as well as laser cut stencils for solder paste application.