May 16th, 2013
I received a message from a person seeking information about a (Back of the Neck) Surface Piercing:
I want to get a nape piercing but everyone tells me that I can't because surface piercings tend to reject and that I'll regret it. What jewelry is best to use for the piercing and what can I do to help it not reject?
It is true that surface piercings have a higher rejection rate than "traditional" body piercings. And it is very important that the tissue is pliable/pinchable. If your skin in that area is really tight and dense, then piercing is not suggested. In addition to optimal placement for your anatomy, and appropriate jewelry, assiduous aftercare is also crucial. They are explained here: http://piercingbible.com/piercing-care
To facilitate healing, you should do saline soaks: http://piercingbible.com/saline-soaks
And also you can use emu oil to soothe and help healing (if you don't object to using an animal product): http://piercingbible.com/emu-oil
Here's an excerpt from my book, The Piercing Bible, about surface piercings:
May 12th, 2013
I received a message from a woman who was concerned about the jewelry in her vertical clit hood (VCH) piercing:
Hi I have a vch piercing I've had it for about 3 months I think . When I first got it done I went to a piercer that has done all my other piercings and I asked him what I could get for 20$ he said anything I want so I chose a genital piercing so I didn't do any research or anything. About 5 days later I was taking a shower and couldn't feel the bottom ball I figured it was normal but I was still a little worried so I looked it up n I read horrible stories n i got really scared I thought I was going to have to go to the e.r I called him the next day and told him what happened and he said to come in and he'll fix it so I did after I read the things on your website I figured I'd need a longer bar when I went in he said the ball got pulled through the wound and healed it inside he had to stick a taper through the hole and push the ball through after a half hr to an hr of pain he finally got it out he was goin to leave the original jewelry in but I said I wanted a longer bar so he put it in and it healed after a few weeks after it was healed the longer bar was getting in the way so I wanted the shorter one back in I went back to him and he switched it he told me to keep an eye on it just incase I was nervous that it would happen again and asked him if their was a middle length he could switch it to and he said there is no middle length it's been fine but I'm still nervous that it will happen again so I check it and its been really weird the top ball disappears and I don't know what I should do it doesn't hurt at all so I think it's healed I don't know the lengths or gauge I don't want to take it out please help me as soon as you can.
May 8th, 2013
I received a message from an uncircumcised man asking for a piercing evaluation for a Prince Albert (PA) piercing:
I got a PA done just over a week ago, and I'm a bit concerned about the positioning. I'm can't see any sign of migration (yet?), but I'm not sure there's enough flesh holding it, and while I don't plan to stretch to jumbo sizes I do want to go up to at least an 8g. I'm uncircumcised, which adds the additional complication of positioning it with my foreskin, so I'm not sure if it could have gone further back or if I'm just unsuited to this piercing. If unsuited, would an apadravya (either converting the PA or healing and getting it done new) be an option, or would you recommend a reverse PA?
Without being able to manipulate your tissue (see your foreskin in it's "resting" position and also pull the foreskin back) it is hard for me to evaluate whether there is a suitable PA placement option for you that is further away from the lower edge of your urethra.
May 6th, 2013
I received this message from a woman concerned about discharge and crusting from her nipple (areola) piercing:
Hi Elayne, I had contacted you a little while ago regarding my nipple piercings. Its taken me a bit to remember too get photos/get decent ones.
To remind you, I have had my nipples pierced since I was 18, so going on 4 years. They are in areola (as shown in the first picture) not nipple. they get crusty just about everyday if I'm lucky its only every couple days, and when moved/lightly pinched to clean the crust off and avoid it going back into the piercing in the process a whiteish creamy liquid comes out. (Shown as best as I could manage in the second picture)
Other possibly pertinent info, I have never had children or been pregnant so the chances of it being a breast milk like substance is very low, especially considering its not even in nipple. My jewelry is and has always been stainless surgical steel. I do not change it ever, I clean it every shower. Do not wear acrylic balls. My gynecologist had been consulted because she had areloa piercing, she said its normal that it happened to her for ten years. Only stopping when she took them out after having children.
I think that's it, I hope it helps...and I mean I have no pain or irritation. It only mildly smells like plugs do once in a blue moon if its really oozing so it makes me think its normal? Please help! End my 4 year span of thinking I'm crazy haha
And also thank you so very much for being willing to help.
April 30th, 2013
I received a message from a person whose surface anchor was beginning to reject:
I got a chest microdermal around 9 months ago and the heel/bottom of it is rejecting. I'm getting it removed today and wanted to know what would the proper placement of a chest dermal be? I think I got it to low and all the tissue that was pulling on it was making so that it could not fully sit correctly. I'm just asking about this to see if getting one higher would be better. I also wanted to know if there was another type of piercing I could get there that would achieve the same effect except with better results. I love my dermal so much I'm just sad to say goodbye to it.
Thank you for your time.
I can understand your concern.
Unfortunately, even when everything is done right, surface anchors (the preferred terminology of the Association of Professional Piercers) simply appear to be less of a permanent body modification than traditional body piercings.
They require ongoing care throughout their life span, including regular irrigation to make sure no matter builds up in the channel or under the ornament. And even with this care, sometimes they will tilt and/or surface and reject.
There is no guarantee that repiercing in the area would result in better results. In fact, I think you can expect the same thing to happen again, which would only result in more scar tissue.
Below are some brief excerpts from my book, The Piercing Bible--The Definitive Guide to Safe Body Piercing
April 29th, 2013
I received a message from a woman who was considering a nostril piercing:
Hi. I really like your site and you seem to be really good at what you do. I would really appreciate it if you could mark the location of a nostril piercing that would look the best on me. Thanks a lot.
I've marked a dot for the "traditional" spot in what I call the "pleasing triangle" placement. And I have also included a second image with the triangle sketched in for you, too.
This is from my book, The Piercing Bible--The Definitive Guide to Safe Body Piercing:
Nostril Piercing: Placement
The traditional placement for a nostril piercing is at the crease line on the side of the nose. A big smile accentuates this feature to help pinpoint the spot. This area is often thinner than the rest of the nose, so it may heal faster and feel less tender when pierced. The jewelry will rest in a natural niche, where it nestles most gracefully. I find it aesthetically pleasing when the placement of the piercing forms a relatively equilateral triangular shape with the opening of your nostril, from end to end.
April 27th, 2013
I received a message from a woman who had questions about navel piercing and pregnancy:
Hi! I've just gotten my belly pierced 2 days ago. Now I'm worried that it'll leave a scar because this morning I was positive that I'm pregnant. Should I take it off now? Because I googled and it appears to me that the belly button looks ugly when pregnant and the scar looks bad. What should I do?
Yes, if you're pregnant the jewelry should be removed and the piercing abandoned ASAP.
This is a section about "retiring" a piercing from my book, The Piercing Bible--The Definitive Guide to Safe Body Piercing:
Retiring a Piercing
Retiring a piercing is permanently removing your jewelry and abandoning the hole. Though body piercing has the potential to be a lifelong adornment, there is no doubt that a piercing—especially one that hasn’t been stretched too fast or large—is easier to be rid of than most other body modifications.
It is best to retire your piercing when it is in good health. A notable exception is when you have a rejecting piercing in which the jewelry has migrated too close to the surface. The main risk of removing jewelry is the potential to trap an infection inside. If there is any purulent drainage (pus), pain, inflammation, or suspected infection, do not abandon your piercing. See “Leave Jewelry In!” page 202, and subsequent sections for more information.
If your piercing is fine but you have decided the time has come to get rid of it, simply wash your hands and the area, open your jewelry, and remove it. A little bit of water-based lubricant such as K-Y Jelly can help to make the transition smooth. Wash the area daily when you bathe. Abandoning a piercing is that simple.
Here's another section that is relevant to your issue about healing a piercing during pregnancy:
April 26th, 2013
Hi Ms. Angel,
Hope you are well. You did my triangle piercing last year in Philly and I'd like to remove it for a few hours. Do you think it would be a problem to put it back in? BTW, I love it!
There's a chance if you remove it you won't be able to reinsert it. On some women, this can happen instantaneously with triangle piercings, because of the way I manipulate the clitoral shaft to rest in front of the jewelry. There's a possibility it could slip back and block the channel even if the piercing is well established. I've had some very distressed clients who found out the hard way that it just couldn't be reinserted, even after the briefest removal.
Since you love it, maybe you can avoid taking it out?
Or, at the very least, I'd strongly suggest you get an insertion taper before you do so. That can help you to reinsert it with less difficulty or trauma. You can get them here:
I'd suggest the one for threaded jewelry in the 12 gauge (which is the most common size I use and should be what you're wearing unless we discussed some other size, or you have stretched up since I pierced you).
Information that will be very helpful to you is located in Chapter 17 of my book, The Piercing Bible. Here's a brief excerpt that should prove useful if you decide to do any jewelry changes (or try out brief removal):
Insertion Tapers for Jewelry Changes