A devotee of the Ban Tha Rua Chinese shrine is helped with a spike pierced through her cheeks during a street procession celebrating the annual vegetarian festival in Phuket September 28, 2014. The festival, featuring face-piercing, 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 Damir Sagolj/Reuters)

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)

A devotee of the Chinese Ban Tha Rue shrine walks with guns pierced through his cheeks during a procession celebrating the annual vegetarian festival in Phuket, Thailand, October 17, 2015. The festival, featuring face-piercing, 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)

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 devotee of the Chinese shrine of Samkong, pierces his cheeks with toy guns during a procession of Vegetarian Festival on October 11, 2010 in Phuket, Thailand. Ritual Vegetarianism in Phuket Island traces it roots back to the early 1800's. The festival begins on the first evening of the ninth lunar month and lasts for nine days. Participants in the festival perform acts of body piercing as a means of shifting evil spirits from individuals onto themselves and bring the community good luck. (Photo by Athit Perawongmetha/Getty Images)

Kaitlin, 28, from the United States is suspended from hooks pierced through her skin by the professional body artist Dino Helvida in Zagreb, Croatia June 7, 2016. (Photo by Antonio Bronic/Reuters)

A devotee of the Chinese Bang Neow Shrine, with two plastic guns pierced through his cheeks, takes part in a street procession celebrating the annual vegetarian festival in Phuket September 29, 2014. The festival, featuring face-piercing, 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 Damir Sagolj/Reuters)

A devotee of the Chinese shrine of Kathu Shrine, pierces his cheeks with umbrellas during a procession of Vegetarian Festival on October 4, 2011 in Phuket, Thailand. Ritual Vegetarianism in Phuket Island traces it roots back to the early 1800's. The festival begins on the first evening of the ninth lunar month and lasts for nine days. Participants in the festival perform acts of body piercing as a means of shifting evil spirits from individuals onto themselves and bring the community good luck. (Photo by Athit Perawongmetha/Getty Images)