Philtrum Piercing FAQ

A philtrum piercing is a central upper lip piercing located in the philtrum, the vertical groove between the nose and the upper lip. It is typically done with a flat-back labret stud, which sits comfortably inside the mouth while the decorative end is visible above the lip.

The name "philtrum piercing" comes from its location in the philtrum, the natural groove above the upper lip.

  • A vertically placed version of this piercing is called a Jestrum piercing.
  • The Medusa piercing is simply another popular term for the standard philtrum piercing.

A philtrum piercing typically takes 3 to 6 months to fully heal.

  • Healing time can be influenced by:
    • Aftercare consistency (cleaning with sterile saline and avoiding irritation).
    • Jewelry material (implant-grade titanium, niobium, or gold reduces irritation).
    • Lifestyle factors (smoking, alcohol, or playing with the jewelry can prolong healing).

Even if the piercing looks healed externally, the internal healing takes longer, so patience is essential.

The cost of a philtrum piercing varies but typically ranges from $40 to $80, with premium jewelry options increasing the price.

  • Jewelry material affects the cost—high-quality titanium or gold will cost more.
  • Professional studio pricing varies based on experience and reputation.
  • Some studios may offer aftercare products included in the service.

Always choose a reputable piercer who follows sterile techniques.

A philtrum piercing is typically done at 16 gauge (1.2mm), though some may prefer 14 gauge (1.6mm) for added durability.

  • 16g is the most common size for lip piercings.
  • 14g may be used for those considering stretching later.

A philtrum piercing can cause dental issues if improper jewelry is used or if the piercing is poorly placed.

  • Flat-backed labret studs help minimize contact with teeth and gums.
  • If the post is too long, it may move excessively and lead to gum recession or tooth enamel wear.
  • Downsizing to a shorter post (6-8mm) after initial healing helps prevent irritation.
  • Use sterile saline solution to clean the outside of the piercing twice daily.
  • For oral care, rinse with alcohol-free saline or mouthwash after eating or drinking.
  • Do not touch or twist the jewelry, as this can cause irritation.
  • Apply a cold compress externally to reduce swelling.
  • Limit excessive lip movement, talking, or chewing gum in the first few days.
  • Avoid spicy, acidic, or hot foods that may irritate the piercing.

Swelling is normal in the first week but should gradually decrease.

Swelling can occur due to:

  • Accidental trauma (bumping or playing with the jewelry).
  • Irritation from food, alcohol, or smoking.
  • An allergic reaction to low-quality jewelry.

If swelling persists beyond the initial healing period, consult a professional piercer.

Pain varies, but most people experience moderate discomfort.

  • The piercing itself is quick and feels like a sharp pinch.
  • Swelling and tenderness are more noticeable than pain during healing.
  • Most people rate the pain around 3-5 out of 10.
  • Wash your hands before handling the jewelry.
  • Hold the flat back disc inside your mouth steady while unscrewing the top piece.
  • If the jewelry is stuck or too tight, visit a professional piercer rather than forcing removal.

It is best to wait 3 to 6 months before changing jewelry.

  • Changing too soon can cause irritation or prolonged healing.
  • If you experience discomfort when trying to remove it, seek professional help.
  • Initial jewelry size: 8mm to 10mm to accommodate swelling.
  • Downsized jewelry: 6mm to 8mm after healing to prevent irritation.
  • Gauge: Standard is 16g (1.2mm), but some people prefer 14g (1.6mm).
  • Professional piercing studios with implant-grade jewelry.
  • Reputable online retailers selling titanium, niobium, or solid gold jewelry.
  • Avoid cheap or plated metals, as they can cause irritation.
  • Clear retainers are the most discreet option.
  • Small, flat-back jewelry can make the piercing less visible.
  • Makeup can help conceal the area, but avoid applying products to healing piercings.

Like all piercings, a philtrum piercing can leave a scar, though this varies based on:

  • How long the piercing was worn.
  • How well it was cared for.
  • Whether irritation or infection occurred.

Most scars are minimal and fade over time, but keloid-prone individuals should consult a piercer before getting pierced.

  • Stretching should be done gradually with professional guidance.
  • Use implant-grade jewelry in small increments (14g, 12g, etc.).
  • Never force stretching, as it can damage tissue.

It can be if:

  • The jewelry constantly rubs against teeth or gums.
  • The post is too long, causing excessive movement.
  • A poor-quality material is used, leading to irritation.

A properly fitted flat-back labret helps minimize risks.

A philtrum piercing is primarily aesthetic, enhancing the natural contours of the lips and facial symmetry.

The name "Medusa piercing" is a popular term used in the piercing community. It has no mythological connection—it’s simply a widely recognized name for the philtrum piercing.