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Scarification is usally recognised as raised lumps in the skin although different shapes and designs also occur. Scars can be raised or indented, globular or linear, through the use of different tools. To make a raised, globular scar, a hook (like a fishhook) is used to hook into the skin and pull it upwards so that it can be cut across with a blade. As the skin heals a round, raised scar is produced. Indented scars are often made using nails or blades to cut into the skin and sometimes cut a thin strip out of the skin. These are usually linear scars. Different societies use different methods to produce scarification. Scarification designs can also follow the form of the face or body to emphasise certain features; the Tiv mark along the cheekbones with long, linear scars as an emphasis to the cheekbones, but also use globular scars, known as 'Abaji' scars, which means 'lumpy face' (Bohannon,P.1956. 'Beauty and scarification amongst the Tiv' in Man 56,129;117-121 ).
Different tools produce different types of scars, some subtle, some pronounced. For example, cutting the skin with a razor and then pulling the skin up with a fishhook or thorn yeilds large, raised keloids (scars). Soot, used as a sterile irritant, can be rubbed into the open wounds to make the scarring even more prominent.
(http://www.uihealthcare.com/depts/medmu ... tions.html)
In the Nuba tribe, located in Sudan, girls must endure three stages of cutting during their lives.
When a girl first starts developing breasts, a scarifier, hooks a sharp thorn into her skin, pulls up, and then slices through the fold. The more the skin is hooked and cut, the more the scar rises. The second visit to the scarifier takes place when the young woman begins menstruating. Eventually, keloids (high, hard scars) develop. And soon a pattern of dots will cover the woman's abdomen from her breasts to her navel.
The woman will make her final trip to the scarifier after she has given birth to her first child and the baby has stopped breast feeding. The procedure takes up to two days to complete. The woman will get scars across her back and buttocks, on the back of her neck and arms, and on her thighs. In the end, the pain will all be worth it, because in Nubian culture, the scarification has made her desirable. (http://magazines.humberc.on.ca/gbanana2 ... astim.html)