The sakko hairstyle is used by maiko today, but was used in the Edo period for the wife to show dedication to the husband. Maiko use it for a ceremony called Erikae, or from maiko to geiko. Maiko use black wax to stain their teeth as well as this. Crane kanzashi is added as well as tortoiseshell items. It's twisted in many knots, so it is quite striking and elaborate.