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Sometimes the plugs are hollow tubes called flesh tunnels which allows views through the enlarged ear holes (shown below). While stretched piercings have gotten popular among the younger set in the Western world in recent years,this type of body modification is not new.
The following pictures show the stretched lips and earlobes of  Mursi women from Ethiopia.

When the Spanish conquistadors discovered the Incas in South America, they saw well- to-do men wearing enormous earrings through stretched ear lobes. It is an extension of plugs - where pierced ear lobes are deliberately stretched with round discs made from a wide variety of materials. The photo below shows an elderly woman from a Thai Hill Tribe whose name translates as the "Big Ear Tribe".

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