Scarification is the creative and artistic application of scars in a controlled manner to achieve an aesthetically or spiritually pleasing result. Scarification is considered to be different than Self-Harm, in the body modification community because it is mainly for cosmetic purposes rather than a way to cope with undue stress. Many people that do these forms of body modification are doing it to mark a rite of passage in their lives. Even though many people hold that scarification is no more painful than tattooing, it is somehow more "intense" to most people. It has very symbolic meaning to them and often their peers or partners. Typically the goal of scarification is to get raised scarring, preferably keloid scarring, but most people usually heal to hypertrophic scarring. Because scarification has a three dimensional aspect, many people enjoy the feeling of healed scars. As a rule of thumb, darker skin tones usually have better scarring than lighter skin tones.
Scarifying involves scratching, etching, or superficially cutting designs, pictures, or words into the skin as a permanent body modification. In the process of body scarification, scars are formed by cutting or branding the skin.
- Strike branding
- This is the same process used to brand livestock. A piece of metal is heated and pressed onto the skin for the brand. However, the brand is usually done piece by piece rather than all at once. For example, to get a V-shaped brand, two lines would be burned separately by a straight piece of metal, rather than by a V-shaped piece of metal.
- Cautery branding
- This is a less common form of branding that uses a tool similar to a cautery-iron to cause the burns.
- Laser branding
- The technical term for laser branding is "electrocautery branding". The electrocautery unit is more like an arc welder for skin than a medical laser (though it is possible to use a medical laser for scarification). Electric sparks jump from the device to the skin, vaporizing the skin. This is a more precise form of scarification, because it is possible to regulate the depth and nature of the skin damage being done to it.
- Cold branding
- This rare method of branding is the same thing as strike branding, except that the metal branding tool is subjected to extreme cold rather than extreme heat. This method will cause the hair on the brand to grow back white and will not cause keloiding.
- Ink rubbing
- tattoo ink is rubbed into a fresh cut. Most of the ink remains in the skin as the cut heals, and will have the same basic effect as a tattoo. As with tattoos, it is important not to pick the scabs as this will pull out the ink. The general public often interprets ink-rubbings as poorly done tattoos.
- Skin removal/skinning
- Cutting in single lines produces relatively thin scars, and skin removal is a way to get a larger area of scar tissue. The outlines of the area of skin to be removed will be cut, and then the skin to be removed will be peeled away. Scars from this method often have an inconsistent texture.
- Packing
- This method is uncommon in the West, but has traditionally been used in Africa. A cut is made diagonally and an inert material such as clay or ash is packed into the wound; massive hypertrophic scars are formed during healing as the wound pushes out the substance that had been inserted into the wound. Cigar ash is used in the United States for more raised and purple scars; people may also use ashes of deceased persons.
- Hatching
- similar in appearance to flesh removal this method of scarification relies on using a sterile surgical scalpel to cut into the skin. Where a larger area is required to be scarred you cut with a hatching technique similar to the sketching technique. This method is easier to perform than flesh removal and can be done with one hand which could be beneficial in some situations. While this technique can take longer for larger pieces it is useful for smaller, more detailed designs and enables shading to be used.
- Abrasion
- Scars can be formed by removing layers of skin through abrasion. This can be achieved using an inkless tattooing device, or any object that can remove skin through friction (such as sandpaper). Chemical scarification uses corrosive chemicals to remove skin and induce scarring. The effects of this method are typically similar to other, simpler forms of scarification; as a result there has been little research undertaken on this method.
Scarification produces harm and trauma to the skin; thus it is considered by many to be not safe. Infection is a concern. Not only do the materials for inducing the wounds need to be sanitary, but the wound needs to be kept clean, using antibacterial solutions or soaps often, and having good hygiene in general. It is not uncommon, especially if the wound is being irritated, for a local infection to develop around the wound. The scarification worker needs to have detailed knowledge of the anatomy of human skin, in order to prevent tools cutting too deep, burning too hot, or burning for too long. Scarification is not nearly as popular as tattooing, so it is harder to find workers experienced in scarification. Precautions are made for brandings, such as wearing masks, because it is possible for diseases to be passed from the skin into the air when the skin is burning, that can lead to death from the tool they use. You can also run into the problems of irritation, keloids, and having to get touch ups. It is something that should be thoroughly thought out. It is much more permanent than tattoos. With tattooing there is the option of laser removal. That option isnt available for something like this.