The practice seems to have been fairly common across world cultures and is still done today. In contemporary society pearling is usually done by professional body piercers, and sometimes by people who specialize in surgical body modification (who are often very publicity-shy, for fear of legal repercussions).
-Wearing obnoxiously vibrant jackets to garner undeserved attention
-Being an all-around ignorant jackass
Man 2: "Dude, you're not gunna get any girls when you're pearling like that"