If I saw that guy walking down the street I would stare like a crazed mad man. And then laugh uncontrollably at him and tell him he has a nice star on his forehead...
I don't have a problem with surface piercings at all actually, and I've seen people with some odd places pierced on their bodies, like their arms, necks, hands, feet and stuff but not on the head lol. I think the spikes are cool but not the stars, I've thought about getting my wrist pierced before.. but it's permanent..
I always forget that not everyone has been exposed to this kind of shit.. Those are as far away from piercing as you can possibly get. It's a surgical procedure.
The star is just retarded and looks like some sort of fucked up tumor, but the head spikes are awesome. Imagine headbutting someone with those.
I love tattoos and piercings, and even the spikes are moderately neato, but the star just looks like an amorphous blob of tumor.