Surface Piercing FAQ
A surface piercing is a type of body modification where the jewelry lies largely flat against the skin. Instead of going all the way through a body part (like an earlobe), the jewelry is held in place by a specially designed bar or anchor that sits under the skin with both ends emerging.
They rely on a barbell or surface bar that’s inserted beneath the skin. The ends of the jewelry emerge at the surface, giving the appearance of a piece that “floats” on your skin while remaining securely in place—at least until the body begins to push it out.
Surface piercings use a barbell that passes under the skin and has two visible ends, while dermal (or microdermal) piercings involve an anchor that’s implanted beneath the skin with a single decorative top attached. Dermals typically have a different healing process and risk profile.
No, they’re considered semi-permanent. Over time, many surface piercings may migrate or be rejected by the body—especially in areas with high movement or friction.
Standard vertical eyebrow piercings aren’t classified as surface piercings. However, when an eyebrow piercing is placed horizontally, it falls into the surface piercing category due to the way the jewelry sits under the skin.
Common placements include:
- Surface tragus (ear)
- Sternum
- Nape (back of the neck)
- Collarbone
- Hip
- Back dimple
- Anti-eyebrow (just below or above the eyebrow)
Yes, a bridge piercing—located on the bridge of the nose—is classified as a surface piercing since it uses a similar barbell-style approach.
No, a vertical labret is not a surface piercing because it penetrates through the lip tissue rather than lying flat on the skin.
The pain level varies by location. Generally, you’ll feel a moderate pinch during insertion followed by some soreness as it heals. Personal pain tolerance also plays a role.
Healing can be a lengthy process, typically taking between 6 and 12 months. The extended healing time is due to the nature of the piercing and the body’s response to the implanted jewelry.
While some may remain for months to even years, surface piercings are more prone to rejection. Movement and friction in the area can increase the likelihood that your body will eventually push the jewelry out.
A surface tragus piercing usually produces a sharp pinch during the procedure, with subsequent soreness during healing. Experiences vary, but it’s generally comparable to other surface placements.
Not every surface piercing will reject, but they do have a higher risk compared to more traditional piercings. The body can sometimes recognize the jewelry as a foreign object and slowly work to expel it.
Rejection happens when the body gradually pushes the jewelry toward the surface. Factors such as constant movement, friction, or placement in a high-traffic area can trigger this natural response.
They aren’t inherently dangerous, but without proper placement and diligent aftercare, there is an increased risk of rejection or infection.
Surface tongue piercings are rare and tend to have a very high rejection rate. Due to the constant movement and unique environment of the tongue, they are considered riskier than traditional tongue piercings.
Clean your piercing with a sterile saline solution. Avoid using harsh chemicals or over-cleaning, and always make sure your hands are clean before touching the area.
For a surface tragus, gently cleanse with saline solution while avoiding alcohol-based products or strong soaps that might irritate the area. Keeping hair and accessories like headphones away can also help prevent irritation.
• Avoid placing pressure or friction on the jewelry.
• Don’t twist or move the jewelry unnecessarily.
• Keep the area clean and free from irritants to support proper healing.
It’s best to avoid sleeping directly on your surface tragus piercing. Pressure during sleep can irritate the area and may increase the risk of rejection.
Yes, once your piercing has fully healed, you can change the jewelry. However, if the piece feels stuck or if you’re uncertain about the process, it’s wise to have a professional handle the change.
Removal should be done by a professional. They use specialized tools to safely extract the jewelry and minimize trauma or scarring to the area.
It is not recommended to remove surface piercings on your own. DIY removal can lead to tissue damage, infection, and potentially noticeable scarring.
Prices typically range from about $50 to $150, depending on the studio, location, and complexity of the jewelry.
A surface tragus piercing often falls in the $60 to $120 range, though prices can vary based on the piercer’s experience and the type of jewelry used.
Look for reputable studios or professional piercers with experience in surface work. Checking reviews, portfolios, and certifications can help you make an informed decision.
For dermal piercings, seek out professionals who specialize in dermal anchor placements, as the technique and aftercare requirements differ from those of surface piercings.
While surface bars can technically be placed on various parts of the body, thigh piercings are uncommon and typically face a higher risk of rejection due to the movement and pressure in that area.
Most high-quality surface jewelry is non-magnetic, but you should always inform your healthcare provider about any piercings before undergoing an MRI.
Yes, surface tongue piercings are particularly prone to rejection. The body may eventually push the jewelry out, meaning they might “grow out” over time.
No. Dermal piercings use an implanted anchor with a single exposed end, whereas surface piercings rely on a barbell that passes through the skin with two visible ends. Dermals typically have a different healing process and risk profile.