Packaged sterile saline is a gentle choice for piercing aftercare. Mixing your own sea salt solution is no longer a suggested practice from the APP. We strongly encourage you to use a sterile saline labeled for use as a wound wash. Contact lens saline, eye drops, and other saline products should never be used on a body piercing. Your saline ingredients should list .09% sodium chloride as the only ingredient. Mixing your own sea salt solution will commonly result in the product being far too salty and strong, this can over dry the piercing and interfere with healing.
WASH your hands thoroughly prior to cleaning or touching your piercing for any reason.
SALINE rinse as needed during healing. For certain placements it may be easier to apply using clean gauze saturated with saline solution. A brief rinse afterward will remove any residue. If your piercer suggests using soap, gently lather around the piercing and rinse as needed. Avoid using harsh soaps, or soaps with dyes, fragrances, or triclosan.
RINSE thoroughly to remove all traces of the soap from the piercing. It is not necessary to rotate the jewelry through the piercing.
DRY by gently patting with clean, disposable paper products because cloth towels can harbor bacteria and snag on jewelry, causing injury.
What Is Normal
Initially: some bleeding, localized swelling, tenderness, or bruising.
During healing: some discoloration, itching, and secretion of a whitish-yellow fluid (not pus) that will form some crust on the jewelry. The tissue may tighten around the jewelry as it heals.
Once healed: the jewelry may not move freely in the piercing; do not force it. If you fail to include cleaning your piercing as part of your daily hygiene routine, normal but smelly bodily secretions may accumulate.
A piercing may seem healed before the healing process is complete. This is because tissue heals from the outside in, and although it feels fine, the interior remains fragile. Be patient, and keep cleaning throughout the entire healing period.
Even healed piercings can shrink or close in minutes after having been there for years! This varies from person to person; if you like your piercing, keep jewelry in—do not leave it empty.
What to Do
Wash your hands prior to touching the piercing; leave it alone except when cleaning. During healing, it is not necessary to rotate your jewelry
Exercise during healing is fine; listen to your body.
Make sure your bedding is washed and changed regularly. Wear clean, comfortable, breathable clothing that protects your piercing while you are sleeping
Showers tend to be safer than taking baths, as bathtubs can harbor bacteria. If you bathe in a tub, clean it well before each use and rinse off your piercing when you get out.
What to Avoid
Avoid cleaning with alcohol, hydrogen peroxide, antibacterial soaps, iodine, or any harsh products, as these can damage cells. Also, avoid ointments as they prevent necessary air circulation.
Avoid Bactine®, pierced ear care solutions, and other products containing Benzalkonium Chloride (BZK). These can be irritating and are not intended for long-term wound care.
Avoid over-cleaning. This can delay your healing and irritate your piercing. • Avoid undue trauma such as friction from clothing, excessive motion of the area, playing with the jewelry, and vigorous cleaning. These activities can cause the formation of unsightly and uncomfortable scar tissue, migration, prolonged healing, and other complications.
Avoid all oral contact, rough play, and contact with others’ bodily fluids on or near your piercing during healing.
Avoid stress and recreational drug use, including excessive caffeine, nicotine, and alcohol.
Avoid submerging the piercing in unhygienic bodies of water such as lakes, pools, hot tubs, etc. Or, protect your piercing using a waterproof wound sealant bandage. These are available at most drugstores and work best for nipple, navel, and surface piercing placements.
Avoid all beauty and personal care products on or around the piercing including cosmetics, lotions, and sprays, etc.
Don’t hang charms or any object from your jewelry until the piercing is fully healed. • Sleeping directly on a healing cartilage piercing can cause irritation, even causing shifts in the piercing’s angle. Placing a travel pillow, on top of your pillow, and then placing your ear in the opening can be helpful to avoid this
When to See a Doctor
If you experience a problem that is beyond the scope of your piercer, the following facts can assist you and your healthcare provider in decision-making about the best care and treatment.
Visit a doctor immediately if you have problems with your piercing and you:
Experience severe redness, swelling, or pain from the piercing
Have a large amount of discharge that is thick, green, yellow, or gray and smells bad
Have red streaks coming from from the piercing site
Take steroids or have a chronic illness or other health condition
Have symptoms that last for a week or get worse
Experience fever, chills, nausea, vomiting, dizziness, or disorientation
It is our position that only sterile disposable equipment is suitable for body piercing, and that only materials which are certified as safe for internal implant should be placed in inside a fresh or unhealed piercing. We consider unsafe any procedure that places vulnerable tissue in contact with either non-sterile equipment or jewelry that is not considered medically safe for long-term internal wear. Such procedures place the health of recipients at an unacceptable risk. For this reason, we do not use reusable ear piercing guns for any type of piercing procedure.
While piercing guns may seem to be a quick, easy and convenient way of creating holes, they have major drawbacks in terms of sterility, tissue damage and inappropriate jewelry design. These concerns are addressed on the Association of Professional Piercers website.
Unless there is a problem with the size, style, or material of the initial jewelry, leave it in the place for the entire healing period. See a qualified piercer to perform any jewelry change that becomes necessary during healing.
Contact your piercer for a non-metallic jewelry alternative if your metal jewelry must be temporarily removed (such as for a medical procedure).
Leave jewelry in at all times. Even healed piercings that you have had for years can shrink or close in minutes! If removed, reinsertion can be difficult or impossible. See the APP brochure Preparing for Medical and Dental Procedures for more information.
With clean hands or paper products, be sure to regularly check threaded and threadless ends on your jewelry for tightness.
Should you decide you no longer want the piercing, simply remove the jewelry (or have a professional piercer remove it) and continue cleaning the piercing until the hole closes. In most cases only a small mark should remain.
In the event an infection is suspected, quality jewelry or an inert alternative may be left in place to allow for drainage of the infection, if approved by your physician. On rare occasion, when the jewelry is removed, the surface cells close up, which can seal the infection inside the piercing channel and result in an abscess. Until an infection is cleared up, discuss with your physician if you should leave in quality jewelry or an appropriate substitute.
Use the t-shirt trick: Dress your pillow in a large, clean t-shirt and turn it nightly; one clean t-shirt provides four clean surfaces for sleeping.
Maintain cleanliness of telephones, headphones, eyeglasses, helmets, hats, and anything that contacts the pierced area.
Use caution when styling your hair and advise your stylist of a new or healing piercing.
Ear & Facial Piercings
A hard, vented eye patch (sold at pharmacies) can be applied under tight clothing (such as nylon stockings) or secured using a length of elastic bandage around the body (to avoid irritation from adhesive). This can protect the area from restrictive clothing, excess irritation, and impact during physical activities such as contact sports.
The support of a tight cotton shirt or sports bra may provide protection and feel comfortable, especially for sleeping.
Genital Piercings – especially Triangles, Prince Alberts, Ampallangs, and Apadravyas – can bleed freely for the first few days. Be prepared. Additional cleaning after urination is not necessary
Wash your hands before touching on (or near) a healing piercing.
In most cases you can engage in sexual activity as soon as you feel ready, but maintaining hygiene and avoiding trauma are vital; all sexual activities should be gentle during the healing period.
Use barriers such as condoms, dental dams, and waterproof bandages, etc. to avoid contact with your partners’ body fluids, even in long-term monogamous relationships.
Use clean, disposable barriers on sex toys.
Use a new container of water-based lubricant; do not use saliva.
After sex, an additional saline rinse is suggested.
Sleep with your head elevated in the beginning to minimize overnight swelling.
Once the swelling has subsided, it is vital to replace the original, longer jewelry with a shorter post or barbell to avoid damage to the teeth and gums.
Because this necessary jewelry change often occurs during healing, it should be done by a qualified piercer. This information should have been given to you during the piercing. If not, consult with a professional piercer about your downsize.
With clean hands or paper products, be sure to regularly check threaded ends on your jewelry for tightness. For threadless jewelry make sure there is no gap between the post (inside) to the top (outside). In case of a gap, place your index finger and thumb on both sides of the jewelry and press them together. Be sure to check that the gap is closed.
Contact your piercer for a non-metallic jewelry alternative if your metal jewelry must be temporarily removed (such as for a medical procedure). See the APP brochure Preparing for Medical and Dental Procedures for more information.
Should you decide you no longer want the piercing, simply remove the jewelry or have a professional piercer remove it and continue cleaning the area until the hole closes. In most cases, only a small mark will remain.
Follow your piercer’s advice about leaving your new, larger jewelry in place for a sufficient time. It could be difficult or impossible to reinsert the jewelry if removed too soon – even briefly – because the channel could shrink very quickly. Avoid removing jewelry in a recently stretched piercing for several days, possibly weeks.
A newly stretched piercing may experience some tenderness and inflammation. It is usually mild and may pass in as little as a few days. Still, it is prudent to follow the care suggested for new piercings.
Because a stretched piercing has an increased surface area, the normal deposits of piecing-related discharge are also amplified. For long-term maintenance, wash or rinse your healed piercing under warm water in the shower as part of your daily hygiene routine. If jewelry is easily removed, take it out occasionally while bathing for a more thorough cleansing of both the tissue and jewelry. Consult your piercer about appropriate care for jewelry made of natural or alternative materials.