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One of the hundreds of elongated skulls that were discovered in 1928 at Paracas Peninsula in Peru. Cranial deformation was practiced by the Paracas civilization (800-100 BCE) by tightly wrapping the head in cloth, during the first few years of life, in order to elongate the cranium
Imagine this would still be practiced and how goofy bike helmets would look.
https://bottega.avalonceltic.com/rep_immagini/prod/002_H14-03_LRG_s3.jpg