Surma women with a lip plate. An unmarried woman's lower lip will be pierced and then progressively stretched over the period of a year in her early twenties. Eventually, a clay disc indented like a pulley wheel is squeezed into the hole in the lip. As it stretches ever-larger discs are forced in until the lip. Lip plates are made from clay and colored with ochre and charcoal before being baked in a fire. Murle region. Ethiopia.