Lip stretching is a body modification that goes back 10,000 years and had been practiced all over the world, from Siberia to South America, from the Middle East to Europe, although there is no evidence that the custom traveled from one area to another. The procedure survives only in Africa and among some Amazonian tribes in South America. The practice is seen among women in the Mursi and Surma tribes of Ethiopia. The lower lip is pierced and a peg is inserted, to be replaced with a larger peg as the skin stretches. A plate or labret is inserted when the piercing is large enough. Traditionally, this is done as a young woman prepares to marry, but is now a personal decision rather than an obligation.

Skull binding has been practiced at various points in history in widespread parts of the world, with some evidence of Neanderthal skulls that had been shaped around 45,000 BCE in Iraq. The custom of head shaping has been most notable among skulls excavated in Peru, where the practice dates back 9,000 years. The skull can only be shaped during infancy. The bones eventually harden to the point that skull modification would only break the cranial bones. An infant's skull would be wrapped with cloth (sometimes with wooden boards added) to restrict its expansion sideways, causing the head to grow long and tall instead. This practice was usually restricted to the wealthier classes. Reproductions of such skulls can be purchased online.

Scarification is a traditional alternative to tattooing in Africa, as ink doesn't stand out well on dark skin (link contains nudity). There are several purposes to the procedure: to decorate the body, to prove bravery and willingness to bear pain, and to signal allegiance to the tribe and family to which one belongs. The practice goes back at least several hundred years among widely scattered tribes. In some tribes, the