The photo above and one below are two examples of scarificacion, which creates a design on the skin surface made using a sharp instrument in order to create a scar once it heals, leaving the shape of the chosen design.
Some people however prefer an implant under the skin which is acquired by making a small cut to so we can implement the necessary mold.
There are many other ideas that so many people take in order to achieve what is necessary as the example of the pictures below, in which people alter their body so creatively to express themselves.
From pointy ears to snake's tongue (below)