Nipple Piercings are usually centered at the base of the nipple. It can be pierced at any angle but is usually done horizontally or, less often, vertically. It is also possible to place multiple piercings on top of one another. The perforation of the nipple to insert jewelry has been practiced by various people throughout history. Male nipple piercing was reported to be done by the Karankawa Native Americans, female nipple piercing is practiced by the Kabyle people in Algeria. In the western world it potentially dates back to the 14th century. The anthropologist Hans Peter Duerr traces the earliest known practice of female nipple piercing as a fashion statement to the Court of Queen Isabella of Bavaria (1385 to 1417). Nipple piercing became a fashion trend among society women during the Victorian period around 1890. Reports about nipple piercings were featured in magazines such as Vogue at the end of the 19th century.