Devotees of the Chinese Jui Tui shrine are seen with spikes piercing their cheeks during a procession celebrating the annual vegetarian festival in Phuket, Thailand in this October 19, 2015 combination photo. The festival, featuring face-piercing, sacrifice, spirit mediums and strict vegetarianism celebrates the local Chinese community's belief that abstinence from meat and various stimulants during the ninth lunar month of the Chinese calendar will help them obtain good health and peace of mind. (Photo by Jorge Silva/Reuters)

Tourist take pictures at Mai Khao Beach, as a plane approaches the Phuket International Airport in Phuket, Thailand March 17, 2016. With its palm-fringed beaches, Buddhist culture and racy nightlife, Thailand has been the poster child for Asian tourism for decades, attracting a range of visitors from backpackers and adventure-seekers, to families and culture vultures. But dark clouds could be forming even as a record of 32 million tourists are expected this year. (Photo by Athit Perawongmetha/Reuters)

A young devotee of the Nine Emperor Gods has a large needle pushed through his cheek during the annual Phuket Vegetarian Festival in the southern province of Phuket on October 1, 2016. (Photo by Lillian Suwanrumpha/AFP Photo)

A devotee of the Chinese Jui Tui shrine takes with his mouth pierced with spikes takes part in a procession celebrating the annual vegetarian festival in Phuket, Thailand October 7, 2016. (Photo by Jorge Silva/Reuters)

A member of a Chinese opera troupe applies make-up before performing at a shrine during the annual vegetarian festival in Bangkok, Thailand, on October 4, 2016. (Photo by Athit Perawongmetha/Reuters)

Animal rights activists from the group “Animal Equality” are covered with plastic sheets to represent meat packaging as they stage a protest during “Day Without Meat” event in Barcelona, Spain, on March 20, 2013. (Photo by Lluis Gene/AFP Photo)

A vegetarian festival devotee gets medical attention after a parade at Jui Tui shrine on September 30, 2014 in Phuket, Thailand. (Photo by Borja Sanchez-Trillo/Getty Images)

A devotee of the Jor Soo Gong Naka shrine with skewers pierced through her cheeks takes part in a procession during the annual Vegetarian Festival in Phuket on September 27, 2022. The festival, back after two years of hiatus because of the Covid-19 pandemic, features religious devotees who slash themselves with swords, pierce their cheeks with sharp objects and commit other painful acts to purify themselves, taking on the sins of the community. (Photo by Manan Vatsyayana/AFP Photo)