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.
Tattoos, skin implant and body piercing fans from around the world have gathered in Caracas for a four-day event celebrating extreme body modification at the Venezuela Tattoo Expo. Visitors to the show displayed extreme piercings, tattoos, skin and teeth implants and even dye injected into eye-balls.
Kala Kaiwi, a tattoo and body modification artist from Hawaii, poses for a picture. Kaiwi is a Guinness World Record holder for the largest extreme non-surgically made stretch earlobes, which measure 109mm (4.3 inches) in diameter.
A Venezuelan man known as Red Skull poses for a portrait
Henry Damon, 37, had already had several sub-dermal implants on his forehead before having part of his nose removed in order to achieve the right Marvel madman look.
Despite the drastic surgery, Mr Damon, from Caracas, Venezuela, is getting ready to take it even further to fulfill his dream.
Maria Jose Cristerna from Mexico is known as Vampire Woman. She holds the Guinness World Record for being the woman with the most body modifications.
The 35-year-old who grew up in a deeply religious family is covered head-to-toe in tattoos, had dental work so she appears to have fangs and has even had titanium horns inserted into her head.
People used to walk on the other side of the road when they saw her coming.
Colombian Carlos Dehaquiz, who modifies bodies with implants, poses for a portrait
A man is tattooed at Venezuela Expo Tattoo in Caracas