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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