body piercing

Consultation: 11 Years With An Apadravya (Male Genital) Piercing- Will It Heal?

I performed a consultation for a man who abandoned an Apadravya piercing:

Hey Elayne.

I have had an Apadravya in for 11 years. I believe it was originally pierced as a 10G and then stretched to an 8G.

Apadravya Piercing
An apadravya piercing

It is time to take it out. I took it out about 48 hours ago. I almost feel like my penis is now more in danger than it was when I had the barbell in. And am curious to know if the holes will eventually close up or if an 8 Gage is too big of a gap or maybe too much time has passed to allow this to happen. Like a doctor couldn't cauterize the hole to gap it, right?

Maybe too much worrying going on in my head. I just don't want these new un-covererd holes from getting infected and I almost want to pump someone full of baby juice at somepoint. So this tripple pee spray is not the spread I want.

Thank you for any and all information.

Thanks for listening.

My reply:

Hello D.

When abandoned, a piercing that old won't "heal" per se, but it is very likely to shrink. Your piercing has "epithelialized" as cells have grown to line the channel making it a sealed hole within your body. So it isn't an opening wound, but a channel all to itself (a "fistula"). This is assuming, of course, that you weren't experiencing irritation, a flare-up, or other problem, which can indicate that there is open tissue.

This is from my book, The Piercing Bible--The Definitive Guide to Safe Body Piercing:

Will It Close?

Apadravya Irritation And Healing Solutions


I received a message from a man who was concerned about his apadravya piercing:

Hi Elayne,

I love my aprydavya, but I have been having problems with it lately.  I have been doing the sea salt solution (1 teaspoon per cup of distilled water).  It has been irritated over the past two weeks and was not getting better with the nightly salt soaks of 20 minutes.  Also, I think I may have screwed up with making a batch of the solution, storing it in a separate container and poring it into another container to soak as opposed to making a fresh batch every time   Now I make a fresh batch of the solution,  but do you think I should see a doctor about the irritation?  Also, do you think that the jewelry may be too long?  When wearing tighter pants, it really contorts the angle and I think that is were the irritation started.

I have attached photos.


Apadravya Healing Flare Up Apadravya Healing Flare Up

My response:

It doesn't look worthy of a doctor visit to me. It may be from trauma, as you mentioned in your message. You'll need to check your own jewelry fit. When you're fully erect, if there is still extra room then you can and should get a shorter post put in.

Apadravya (Male Genital) Piercing Placement


I received a message from a man who was considering nontraditional placement for an apadravya piercing:


I am interested in having my penis pierced. Basically, I am interested in an Apadravya, but I wanted to know if it is necessary that the top hole be in the head of the penis? I would like to have it emerge through the shaft, just behind the head. Is this possible? Or does it have to be through the head?

Thank you so much for all that you do.


My response:


Some piercers are willing to do that for you, but I suspect they haven't seen a cross section of penis anatomy indicating the central location of the deep dorsal vein and artery. 

Being well aware of these crucial structures, I will not do a shaft placement on an apadravya (nor an ampallang).

Did you need a referral to a piercer in your area or were you considering getting pierced by me? Where are you located?

This is from my book, The Piercing Bible--The Definitive Guide to Safe Body Piercing:

Apadravya Piercing: Placement and Choice of Jewelry

Apadravya (male genital) PiercingThe apadravya is pierced vertically through the penis head. It may rest in the center of the glans on the top or be placed closer to the coronal ridge. Because it passes through the urethra, it usually heals faster than an American ampallang.

The apadravya is unique because this single placement encompasses multiple piercings: it is comprised of a Prince Albert on the lower portion and a reverse Prince Albert on the upper.

Prince Albert (PA-Male Genital) Piercing Migration Problem


I received a message from a man who had questions after he had to abandon his Prince Albert (PA) piercing due to migration:

Hi Elayne.

I was hoping I could get your opinion on the 2 attached photos of my PA.  It slowly began to have an extension of the urethral opening about 6 1/2 months after I got it pierced.  The situation is I was pierced at 6g with a titanium circular and then stretched to a 4g captive 5 months after the initial piercing.  When we did the stretch, there was very little resistance and we did not see any of the migration that you can see in the photos.  I used emu oil on the piercing after the stretching.

My Piercer had me remove the jewelry for now as we did not want to risk any further thinning of the skin.  He suggested that maybe we could pierce it a little further down the shaft in the future, but I don't know.

I have psoriasis as well and do have breakouts.

Do you have any suggestions as why this may have happened and what's the best course of action?

Thanks in advance for any information you can give me!

Best wishes!


PA abandoned due to migration.

PA abandoned due to migration.

My response:

Hello B.

Apprentice Advice "Ring Jewelry In Ampallang"

I received a message from an apprentice piercer asking about jewelry for an ampallang piercing:

Hello Ms. Angel,

My name is F. I am an apprentice piercer and I have a married couple coming in and they both want to get pierced. The Husband (uncircumcised) is adamant on getting an Ampallang, but he wants a hoop for the initial Piercing. I can not find any information online or through other piercers if this is safe. I would really appreciate your advise.

thank you.

Hi F.,

What about your mentor? If you're an apprentice, there has to be an expert you're studying under, right? What does he or she have to say….? If you do not have anyone to guide you through such advanced piercings, you MUST refuse!

If someone came to me with that request, my response would be, "No, I'm sorry--I won't use a ring for initial jewelry in that area. My experience allows me to be certain that would not be safe or helpful for healing. I can start it using a bar, and after you are fully healed you can explore other jewelry options."

In any case when it comes to dealing with clients, you're in charge. Regardless of how "adamant" somebody is, it is up to you to always stand by your ethics and only do piercings for which you are qualified, and to refuse to participate in any piercings (or jewelry selections) that are a bad idea.

Just say "no."  If they say they'll go elsewhere for it--that's fine. You can't be responsible for their bad decisions, but you can be responsible for avoiding making your own. I always tell people, "Any piercer who is wiling to do that does not care about your safety, wellbeing, or the success of your piercing--only your money. I DO care, which is the reason I'm going to refuse to do anything that is a bad idea."

Twice Rejected Navel Piercing

I received a message from a woman who wanted to try another navel piercing after two rejections: 

Hello there, hope all is well. I am currently 27 years old and had my navel pierced when I was 17 and again when I was 19. Both times I kept the piercing in for over a year, cleaning and treating it, but it would not heal (and kept cycling between infected and not infected). I’m left with this horrid scar and I’m getting an itch to pierce it again. I’d only do it if I knew of a material that my body wouldn’t reject, but I don’t. Clearly “surgical steel” isn’t working. I’m assuming it’s the nickel in it.  

Scarred Navel - standing view

I don't know if the piercers were members of the APP. However I can tell you that I first got pierced in May 2003, took it out (due to it not healing, keloids forming, and constantly having to treat it) in Jan 2004. When I went to get it re-pierced in June 2004, the piercer told me that the previous guy didn’t take enough skin when he pierced me, thus it was too far out and refused to heal. However, the same thing happened with this piercing, and thus I took it out about 8-10 months after that.

BOTH piercings were done with externally threaded surgical steel. 

The area does not fold in when I sit, however I do remember the jewelry getting caught onto my jeans a lot when I sat/stood. Of course I tried to avoid that as much as possible, but sometimes I’d forget.

Scarred Navel - sitting view

Is My Navel Piercing Okay?

I received a message from a woman who was concerned about her navel piercing:

Yesterday was my 3 month mark with my navel piercing. I've been through hell and back with this thing but I am not giving up!!! I adore this piercing and I don't want to take it out!

I got a granuloma on the bottom hole of my piercing about a month ago. It's healing, slowly but surely. I apply tea tree oil to it 2-3 times a day and it has decreased in size.

Lately I have noticed my bar hanging out a bit more. I know that usually happens since the piercing bars are longer to accommodate for swelling of the piercing. However, I am worried it is hanging too much. I have seen pictures on Google of navel piercings that look much, much shallower than mine. I still have quite a thick amount of skin in between my balls. The reason for my concern is that right behind my top hole, there is a purple dot. I am wondering if that is where my hole used to be and it is moving?

Should I put in a smaller bar? I think I may have a little scratch on the bottom of my bar, but I can't quite tell...maybe you can?

Thanks for your help!!!

Healing Navel piercing with burdensome jewelry.Healing Navel piercing shows purple tissue that is normal.


My response:

The piercing looks quite normal for its age, and there is an appropriate amount of tissue between the entry and exit holes.

The darkened appearance can be perfectly routine during healing.

This is from my book, The Piercing Bible--The Definitive Guide to Safe Body Piercing:

Navel Nightmare

I received a message from a piercee who was concerned about her severely troubled navel piercing:


I've had a belly piercing since sept 2011 and it has refused to heal. At first, I thought it was because I hadnt changed the ring, but then I did n it became worse. I dont know what 2 do, n I dont want 2 take it off cos I've grown accustomed to it. Bt now it brings out yellow pus, n it itches n looks like its about to fall off. Please what do I do? And if push comes to shove and I have to take it off, when it heals, can I get another piercing? Thanks a lot And I also want to know if I cn repierce it after it heals if I unfortunately have to take it off. Thank you very much.

Navel piercing in distress.Navel piercing in distress.Navel piercing in distress.

My reply:

You're having a serious problem there. I believe part of it is from poor quality jewelry, and part of it is that your piercing is too shallow. It is clearly on its way out.

I HIGHLY suggest you do some saline soaks to foster drainage. You don't want to trap any infection inside when you abandon the piercing.

Information on saline soaks is here:

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