How to make a hole in a body part

I want to make a hole in a body part (specifically the humanroot) similar to abbachio in jjba pt 5. Another thing is how I would make the clothes and stuff not get messed up due to this.

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I would probably put this in art support as there’s not much scripting that goes into this.

You would have to make a custom mesh with a texture or just a texture by itself. Scripting/Editing wise you cant exactly just cut a hole in the middle of a body part, even with unions considering its a mesh.