Complications and Hazards Associated with Body Piercing: A Narrative Review.

OBJECTIVES: The increasingly widespread practice of piercings is often accompanied by complications and hazards which are constantly increasing. Therefore, it seems necessary to pay attention to the non-negligible risks that these practices entail and to the possibilities of reducing them. Hence, this study was conducted to help raise awareness of the complications and hazards associated with body piercing as a growing type of body modification practice. METHODS: Studies were searched in the PubMed database and the Google Scholar engine using the keywords, often in combination, including body piercing, body modification, complications, and infection. The searches were limited to post-2000. Studies without limitations on their types were included in this study. RESULTS: The most important complications are infection, bleeding, trauma, allergy, and scarring. Infection is the most common complication which occurs in individuals after piercing. A wide spectrum of bacterial and viral infections may occur. Allergic manifestations are not uncommon, with the risk that sensitization thus acquired may have subsequent harmful consequences. CONCLUSIONS: Educating people and health care professionals by conducting more studies to better understand the complications of body piercing can be a solution to reduce health problems related to body piercing.

Mental body representations of women with tattoos in emerging adulthood - a cluster analysis.

Tattoo is a permanent body modification relevant to women's bodily experiences. Previous studies on the population of tattooers have focused mainly on searching for negative or positive aspects of tattooing, mainly in the field of self-esteem. The aim of this study was to explore the mental body representations of tattooed women during emerging adulthood. Three hundred and twenty-seven women with tattoos, aged 18 to 25 (M = 21.48; SD = 2.05), participated in the study. In the study, we adopted a quantitative research project; the data for analysis was obtained from questionnaires that were completed online between January and March 2021. Women with tattoos completed a survey containing demographic questions, questions regarding their tattoos, the Battery of Tests of Body Self Representations, and the Rosenberg Self-Esteem Scale. Based on that a cluster analysis, we have discovered three types of mental body representations that may characterize them: (1) unstable, (2) disordered, and (3) integrated. The study showed that having a tattoo is associated with experiencing carnality in a specific way.

Two God-Kings, Two Skulls: Artificial Cranial Deformation in Akhenaten of Egypt and Khingila of the Huns.

Separated by half a continent and over 1800 years, Akhenaten, the "Heretic Pharaoh" of Egypt, and Khingila, "The God-King" of the Alchon Huns, had a great deal in common. Both rulers laid claim to divinity, labeling themselves as gods amongst men, and both are represented in their official imagery with unusually shaped skulls consistent in appearance with artificial cranial deformation (ACD) performed upon them soon after birth. This article compares the evidence - including the KV55 mummy, likely the remains of Akhenaten himself - between the two God-Kings and determines that Khingila almost certainly possessed an annular erect ACD consistent with the wider Hun culture. Akhenaten's ACD in his state-sponsored imagery was likely solely an artistic choice meant to emphasize his oneness with the divine. In both men, their represented ACD was ultimately intended to solidify their power through two different avenues. For Khingila, it was to emphasize a common ethnic and cultural heritage with his subjects. For Akhenaten, it was meant to set the pharaoh even further apart from the rest of humanity.

Body modifications in borderline personality disorder patients: prevalence rates, link with non-suicidal self-injury, and related psychopathology.

BACKGROUND: Borderline Personality Disorder (BPD) is a potentially severe personality disorder, characterized by difficulties in emotion regulation and control of behaviors. It is often associated with non-suicidal self-injury (NSSI). Borderline personality features have also been linked to body modifications (BMs). However, the prevalence of BMs, the link between BMs and NSSI, and between BMs and several psychopathology dimensions (e.g. borderline severity, emotion regulation, impulsivity …) remains understudied in patients with BPD. This study aims to fill this gap, and to provide further evidence on the link between NSSI and BMs. METHODS: We used data from a psychiatric outpatient center located in Switzerland (n = 116), specialized in the assessment and treatment of BPD patients. Patients underwent several semi-structured interviews and self-report psychometric scales at the arrival, and the data were retrospectively analyzed. RESULTS: We found that 70.69% of the patients had one piercing or more, and 69.83% were tattooed. The total score of body modifications and the total number of piercings score of piercings were significantly positively associated with NSSI and the SCID BPD total score. The association with the SCID score was mainly driven by the "suicide and self-damaging behaviors" item and the "chronic feeling of emptiness" item. A significant association was found between total number of piercings and emotion dysregulation. On the other hand, the self-reported percentage of body covered by tattoos score was specifically associated with the sensation seeking subscale of the UPPS-P. CONCLUSION: This study provides evidence on the prevalence of BMs in BPD patients, and on the link between BMs and NSSI in this population, suggesting a role of emotion regulation in the link between both constructs. These results also suggests that tattoos and piercings may be differentially linked to specific underlying psychological mechanisms. This calls for further considerations of body modifications in the assessment and care of BPD patients.

Epilation and depilation in the genital area - motivation, methods, risks and recommendations from a dermatological point of view.

Pubic hair removal is a body modification practice done worldwide for different socio-cultural reasons, which is more common in women than in men, more common in younger than in older people, and more common in sexually active people than in abstinent individuals. Since there is no medical indication for genital epilation and depilation, with a few exceptions, there is only very limited evidence in the literature about the methods used and their risks. In order to provide users with guidance from a dermatological perspective on the use of different procedures and associated risks, the existing data were collected, analyzed and evaluated in a systematic literature search. For this purpose, a total of 290 articles in the English- and German-language scientific literature were identified in databases (PubMed, Google Scholar) according to defined search strategies, and 61 publications with scientific significance were identified after assessing relevance. It became clear that depilation methods (shaving, trimming, chemical depilation) are used more frequently compared to epilation methods (waxing, sugaring, mechanical epilation, electro-epilation, laser, intense pulsed light, drug epilation). The different risks and undesirable effects were analyzed in a method-associated manner and prophylactic strategies to avoid complications were developed.

The associations between photo-editing and body concerns among females: A systematic review.

Emerging research has raised concerns about the growing prevalence of photo-editing behaviour and how this may negatively interact with body-related concerns among females. This review aimed to systematically examine the current evidence relating to the associations between photo-editing behaviour and female body concerns, including body image, body dissatisfaction and body modification. Six databases were searched for studies investigating associations between photo-editing and body concerns in female social media users. Empirical studies published in English were included if they quantitatively measured the association between photo-editing and at least one of the body-related outcomes, and included female participants. A narrative synthesis of the 22 studies meeting these specific criteria was completed. This review revealed mixed findings in relation to the associations between photo-editing and body concerns. The findings indicate there may be a more complex relationship between both concepts that is influenced by alternative factors. The findings also revealed considerable heterogeneity in measurement approaches for both photo-editing behaviour and body-related outcomes. Future research should focus on developing a gold-standard approach to the measurement of various body-related concerns and conducting in-depth analyses in order to further understand the complex relationship between photo-editing and female social media users' body concerns.

The association of childhood abuse and neglect with tattoos and piercings in the population: evidence from a representative community survey.

BACKGROUND: Tattoos and piercings are becoming increasingly popular in many countries around the world. Individuals seeking such body modifications have reported diverse psychological motives. Besides purely superficial considerations, tattoos and piercings can also have a deep, personal meaning. For example, they can mark and support the emotional processing of significant life events, including formative experiences from early childhood. However, there is a lack of studies that examine the links of tattoos and piercings with experiences of childhood abuse and neglect in large, population-based samples. METHODS: We investigated the association of reports of childhood abuse and neglect with the acquisition of body modifications (tattoos and piercings) within a representative German community sample. Survey participants (N = 1060; ages 14-44 years) were questioned whether they had tattoos and piercings and filled out the 28-item Childhood Trauma Questionnaire Short Form (CTQ-SF). RESULTS: Tattoos and piercings were more common among individuals who reported childhood abuse and neglect. The proportion of participants with tattoos and piercings increased as a function of the severity of all assessed types of abuse and neglect (emotional, physical, and sexual abuse; emotional and physical neglect). In logistic regression analyses which included the covariates age, gender, education, and income, the sum of significant kinds of childhood abuse and neglect was positively related to having tattoos and/or piercings (OR = 1.37 [95% CI 1.19-1.58]). CONCLUSIONS: The results corroborate previous research indicating that body modifications could have special significance for individuals who have survived adversity, in particular interpersonal trauma at the hands of caregivers. These findings could inform screening procedures and low-threshold access to psychotherapeutic care.

A guide to classify tattoo motives in Mexico as a tool to identify unknown bodies.

JUSTIFICATION: In Mexico, the number of unidentified bodies has been steadily rising for years. By now, more than 50,000 bodies are considered unidentified. Forensic laboratories that could perform comparative molecular genetic investigation are often overburdened and examinations can take months. Therefore, pragmatic approaches that can help to identify more unknown bodies must be sought. The increased use of distinctive physical features might be one, and the high rate of tattooed people in Mexico points towards a great potential of tattoos as a tool for identification. The prerequisite for a comparison of antemortem (missing persons) and postmortem (unknown bodies) data is an objective description of the particularities, e.g., of the tattoos. The aim of this study was to establish an objective classification for tattoo motives, taking into consideration local preferences. METHODS: In the database of the medicolegal services of the Instituto Jaliscience de Ciencias Forenses (IJCF) in Guadalajara, postmortem data of 1000 tattooed bodies from 2019 were evaluated. According to sex and age, the tattooed body localization and the tattoo motives were categorized. RESULTS: The 1000 tattooed deceased showed tattoos on 2342 body localizations. The motives were grouped and linked to the following 11 keywords (with decreasing frequency): letters/numbers, human, symbol (other), plant, symbol (religious), animal, object, fantasy/demon/comic, tribal/ornament/geometry, other, unrecognizable. CONCLUSION: Using the proposed classification, tattoo motives can be described objectively and classified in a practical way. If used for antemortem (missing persons) and postmortem (unknown bodies) documentation, motives can be searched and compared efficiently-helping to identify unknown bodies.

Personality and willingness towards performance enhancement and body modification: A cross-sectional survey of a nationally representative sample of Norwegians.

We conducted an exploratory investigation of the relationship between personality and willingness towards performance enhancement and body modification in Norway. The study is based on Norwegian Monitor data from a cross-sectional survey of a nationally representative sample of 4,233 (females: 49.9%) persons aged 15 to 96 (45.92 ± 18.02) years. Data were collected using a questionnaire containing demographic questions and measures of physical appearance satisfaction, physical activity level, personality (five-factor model), and willingness towards performance enhancement (e.g., substances that improve creative thinking) and body modification (e.g., use of muscle-building substances). Data were analyzed using descriptive statistics and multiple regression analyses. We found that 62.2% and 50.1% of our sample were either willing to use or contemplating using substances that reduce memory failure and enhance physical fitness respectively. Our sample was most willing or contemplating tattooing (30.0%) and generally skeptical of the other body modification methods with willingness to use or contemplating using substances to enhance muscularity least accepted (3.9%). Higher fantasy/openness and lower agreeableness were associated with higher willingness towards both performance enhancement and body modification. Additionally, higher extraversion and lower control/conscientiousness predicted higher willingness towards body modification. Our findings corroborate previous indications that performance enhancement and body modification are now mainstream. They also underline the importance of personality traits in willingness towards these practices.

Two cases of pen ink scleral tattoos and a brief review of the literature.

PURPOSE: Scleral tattooing, also known as episcleral, subconjunctival, or simply eyeball tattooing, is a relatively new form of extreme body modification that first emerged in 2007. There are few reports of the management of these tattoos in the medical literature, and we aim to increase the body of knowledge surrounding this rare and potentially dangerous practice. OBSERVATIONS: We present two new cases of improvised scleral tattooing, both performed in prison using pen ink and insulin needles, and both with minimal complications and managed with topical medications. A brief review of the literature is included which details the dangers of scleral tattooing. CONCLUSIONS AND IMPORTANCE: We discuss management of complications for this new, previously unreported method of scleral tattooing using pen ink. Ophthalmologists should be aware of the presentation, possible complications, and management of these cases.

"Body modification: piercing and tattooing in congenital heart disease patients", decoration or disaster?-a narrative review.

OBJECTIVE: Tattoos and piercings are types of body art, which are gaining popularity over the last decades. An increasing number of adolescents and adults with congenital heart disease (CHD) have piercings or tattoos. This review will provide prudent information on the subject for affected patients and health care professionals caring for them. BACKGROUND: Amongst others, local infections are a common complication in up to 20% of all piercings and isolated cases of systemic infections like endocarditis have been reported. Individuals with congenital heart disease are especially susceptible to endocarditis and prone to suffer severe health consequences from it. In terms of tattooing endocarditis is less common but the localization must be well considered as it might interfere with cardiovascular magnetic resonance imaging (CMR), which constitutes an important part of follow up investigations in these patients. METHODS: This article is written as a commentary narrative review and will provide an update on the current literature and available data on common forms of body modification and the potential risks for patients with CHD. CONCLUSIONS: In order to best advise patients and their families, health care professionals must be aware of potential risks accompanying the implementation of body art. Neither the European nor the American guidelines for endocarditis prophylaxis address piercings and tattoos. To our knowledge, there are no clear recommendations concerning piercings and tattoos for adolescents and adults with CHD.

Ritual and the origins of first impressions.

When encountering a stranger for the first time, adults spontaneously attribute to them a wide variety of character traits based solely on their physical appearance, most notably from their face. While these trait inferences exert a pervasive influence over our behaviour, their origins remain unclear. Whereas nativist accounts hold that first impressions are a product of gene-based natural selection, the Trait Inference Mapping framework (TIM) posits that we learn face-trait mappings ontogenetically as a result of correlated face-trait experience. Here, we examine the available anthropological evidence on ritual in order to better understand the mechanism by which first impressions from faces are acquired. Consistent with the TIM framework, we argue that examination of ritual body modification performed by communities around the world demonstrates far greater cross-cultural variability in face-trait mappings than currently appreciated. Furthermore, rituals of this type may be a powerful mechanism through which face-trait associations are transmitted from one generation to the next. This article is part of the theme issue 'Ritual renaissance: new insights into the most human of behaviours'.

Health Implications and Counseling Considerations for Individuals With Piercings and Tattoos.

Body art has become common and mainstream. Tattoos and body piercings represent highly individual expressions of identity and personal values. Health care services are enhanced when clinicians understand the anatomy and physiology, common discomforts, and real but rare serious risks of body modification and are prepared to provide compassionate support for individuals' choices. Special consideration must be given to the needs of childbearing women. By opening channels of communication, clinicians can engage with clients in shared decision making to help those who possess or desire body art take steps to reduce the risk of adverse effects and obtain prompt and effective medical care when problems arise. Through respectful discussion of existing body art, the therapeutic relationship is strengthened, and greater insight into an individual's health needs may be achieved.

Paleopathological research in continental China: Introduction to the Special Issue.

We set out to assemble this Special Issue of IJPP with three goals in mind: (1) to familiarize Anglophone readers with research on paleopathology conducted by Chinese scholars; (2) to enhance interest in paleopathological research among Chinese scholars, and to foster the use of differential diagnosis as the key mode of paleopathological analysis; and (3) to initiate integration of pathological analysis of human skeletal collections with historical records documenting early medical practices, epidemics, development and age-related diseases, and demographic records. The collection of papers that follows presents new data, from a range of time periods and geographic and social contexts, that we feel reflect the diversity, dynamism, and enormous scope of archaeology in China today. Themes such as infectious disease history, interpersonal violence, and comorbidity as a methodological issue are addressed by multiple papers. However, as the special issue developed, we also came to a slow appreciation of structural constraints that made our original goals difficult to attain within the current state of our discipline, of which the language barrier represents only a minor issue. This introductory paper is intended to contextualize the Special Issue, and help readers understand the intrinsic and extrinsic factors that influence paleopathological research in China and its interactions with similar research in other parts of the world. :IJPP，:(1);(2)，;(3)、、。、，、。、。，，，，。，，.

[Complications of cosmetic piercings and tattoos in the head and neck region]. / Komplikationen bei kosmetischen Piercings und Tätowierungen im Kopf-Hals-Bereich.

Piercings and tattoos have gained popularity across all cultural environments during the past century, and one in ten Europeans are now pierced. While tattoos are often restricted to the rest of the body, piercings are common at facial sites such as ears, nose, lips, and tongue. Complications following piercings are not uncommon. Infections can rapidly spread across the auricular cartilage and require antibiotic and often surgical treatment. Mild trauma (i.e., piercing the earlobe) can lead to excessive scar formation due to fibroblast proliferation. Keloids have a particularly high rate of recurrence and are therefore difficult to treat. Due to recent developments in the field of permanent makeup, tattooing techniques are also increasingly applied in the head and neck region. Here, complications such as infection or allergic reactions can occur. Topical medication or laser procedures are the usual therapeutic options.

Osteological characteristics of Chinese foot-binding in archaeological remains.

Foot-binding was a widespread custom in China for hundreds of years, though the severity and type of binding varied considerably over time and space. To examine the morphological consequences of extremely severe foot-binding, this paper uses 35 sets of bound and 33 sets of unbound foot bones, from the remains of women excavated from the Xinzhi cemetery in northern Shandong Province. Based on macroscopic observation, CT slices, and measurements of bound foot bones, multiple distinctive consequences of foot-binding were identified. Compared with normal bones, bound foot bones have severely reduced overall size and weight. The density of trabecular mesh was reduced and its structure was altered in all tarsal bones. While the talus and navicular bones of bound feet retained all major groups of trabeculae, the calcaneus experienced massive trabecular loss, suggesting that in a bound foot the calcaneus lost its weight bearing function and its role in plantarflexion. The severity of changes was greater in the laterally positioned foot bones, i.e. the lateral cuneiform, the cuboid, and 4th and 5th metatarsals, than in the medial ones, showing that most of the body weight in the bound foot was transmitted along the first ray. Degenerative osteoarthritic changes affected articular surfaces of the foot bones, even in young individuals. These changes suggest that the biomechanics of bipedal locomotion were considerably affected in all females with severely bound feet.

Limits to consent in cosmetic interventions: an update.

This update restates the legal limits of consent to medical treatment. It reviews the classic statement of law set down by the case of R v Brown, where 'proper medical treatment' was stated to be exempted from the ordinary laws of consent. This position has been recently developed further by the 2018 English case of R v BM where a non-medical body modification artist was convicted for having carried out substantive body modification procedures. This article considers how these developments may affect Australian law, particularly laws pertaining to cosmetic procedures.

Adolescents and Body Modification for Gender Identity Expression.

As a matter of ethics and law, adults enjoy wide berth in securing hormonal and surgical interventions to align their bodies with their desired gender appearance. In contrast, the exercise of choice by minors is more constrained, because they can be less well situated to grasp the nature and consequences of interventions having life-long effects. Even so, some minors hope for body modifications prior to adulthood. Starting very young, some minors may assert atypical gender identity: those with female-typical bodies assert a male identity and those with male-typical bodies assert a female identity. This assertion of identity is atypical only in a descriptive sense, because it is uncharacteristic, not because it is normatively unacceptable. Not all minors persist in their atypical gender identities, but some do. For those who do, it is desirable to minimize unwanted secondary sex characteristics and to maximize desired secondary sex characteristics. I outline here a theory of respect for decisions by minors in regard to hormonal and surgical interventions that help align their bodies with their gender identity. Of particular ethical interest here are body modifications for fertility preservation since certain interventions in the body can leave people unable to have genetically related children. In general, I will show that the degree of respect owed to minors in regard to body modifications for gender identity expression should be scaled according to their decision-making capacities, in the context of robust practices of informed consent.

A bioarchaeological and biocultural investigation of Chinese footbinding at the Xuecun archaeological site, Henan Province, China.

From 2005-2006 the Institute of Cultural Relics and Archaeology, Henan Province, excavated the Xuecun cemetery as part of a salvage archaeology project associated with the South to North Water Diversion Project. This gave a unique opportunity to examine burials from the Ming-Qing Dynasties (1360-1911). Burials from this period are seldom excavated as the Chinese, do not want to disturb their direct ancestors. This is one of the first studies to examine the paleopathological consequences for footbinding in China. A total of 202 individuals were analyzed for evidence of bound feet: including the loss of musculature in the legs, alterations to muscle attachments, changes in the morphology of the tarsals, metatarsals, and phalanges, and signs of infection and trauma. Length and width measurements of tarsals, metatarsal, and phalanges were taken from all females with observable bones. T-test results confirmed a significant difference in tarsal and metatarsal length/width. The incidence of footbinding also increased through time from no evidence in the Han Dynasty, Tang Dynasty, Song Dynasty, and Jin Dynasty, to a dramatic increase in the late Ming Dynasty to Qing Dynasty.