I recall that there was darkness in the midst of the darkness a skull. A disembodied voice was speaking, trying to persuade me or the person to whom the skull belonged that the modifications and cosmetic surgeons being done wolf make the owner of the skull beautiful. The voice had carved deep, swirling grooves into the bone and other patterns on the cheek bones. There were also piercings. At one point I was shown the face of my wife’s aunt with the suggestion that she had done something similar which was why she looked so youthful for her age.