Women of the both the Tiv and Nuba peoples of Nigeria in west Africa endure extreme scarification rituals in order to undergo a rite of passage, as in the case of the Nua, or to accentuate their beauty. The scars are made using a knife or more traditionally stone or shards of glass or coconut shell and the deep wounds rubbed with toxic plant juices to create swollen welts or “keloids”. Scarification or cicatrization of the torso begins in young Nua females at the first appearance of breasts; further scarring of the entire torso coincides with the onset of menses; and finally the back, arms, legs and neck and scarred once the woman weans her first child.
In the Tiv, scars are associated with sexuality – the most scars the woman bears, the more sexually demanding, and willing to reproduce.