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This is an authentic, ceremonial shrunken head made by the Shuar people. Some of the characteristics of a real tsantsa are the long hair, sealed orifices, and sewn lips, the strap used the hang the head, and the dark, polished color. via The College of
Shuar (a shrunken head) — is a human head that has been processed and prepared removing much flesh and all bone, shrinking it in the process, filled with sand, for ritual use or trade. A shrunken head is a severed and specially prepared human head
Tsantsa (tête réduite), Amérique du sud, c. 1890.