Different cultures do things that to them their entire culture sees it as a perfectly sane thing to do.
There are indigenous tribes on other continents that stretch their lips, some that elongate their necks, and so on.
Hell we here in America have our own little disfiguring we like to do to our baby males to the tune of an average of 80%. Now to be sure this is not a fashion trend or an attention seeking thing. But it is a culturally acceptable thing that has long been embraced.
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