As tattoos become mainstream, more and more people are looking towards body modification, piercing unusual parts of their bodies and scarification as a means to express their individuality in an extreme fashion.

While body modification can be beautiful, by nature it is also gruesome. Some of the extreme piercing and body modifications you’ll read about below are far more shocking than even the most graphic of tattoos. Among the scarification, bizarre piercings and forked tongues, there’s also a man who affixed his eyebrow to his upper lip and another man who had his twin brother’s arm amputated and sewn onto his body as a third arm.