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Some hunters use a hatchet or saw to split the rib cage open, but a stout fixed-blade knife will also work

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Maria Petrovna Kikina-Volkonskaya is depicted in the Russian court dress of a lady-in-waiting, 1839

Alterations are rarely optional

This may result in a scar with the appearance of a "railroad track." Keloid formation: A keloid is a large, firm mass of scarlike tissue