The world of body modification is constantly evolving, offering increasingly innovative and subtle ways to express individuality. One of the trends that has gained exceptional popularity in recent years is the dermal piercing, also known as a microdermal piercing. Unlike traditional piercings that have an entry and exit point, the dermal presents a unique concept – a decoration that looks as if it is placed directly on the surface of the skin, with no visible connection. This technique allows for the placement of jewelry on almost any flat area of the body, opening the door to endless possibilities for adornment, from the décolletage and face to the back and hips. It is this versatility and minimalist elegance that make it an attractive choice for those looking for something different from a classic piercing.

What exactly is a dermal piercing?

A dermal piercing is, in essence, a unique type of surface piercing. Its fundamental difference lies in the way the jewelry is placed and anchored. It consists of two key parts: the base, or anchor, and the visible decorative top. The base is a small, flat plate, most often made of biocompatible titanium, which is inserted under the surface layer of the skin, the dermis. A small post protrudes vertically from this base, onto which the interchangeable decorative top is screwed. Once the tissue heals around the base, it becomes firmly anchored, creating the impression that the jewelry is simply "sitting" on the skin. Because of this method, a dermal piercing is considered a semi-permanent modification because its removal requires professional help. It is this technique that allows jewelry to be placed in places where a traditional piercing is not feasible, such as the sternum, collarbone, or even on the fingers, although such areas are more prone to risks due to constant movement.

The insertion procedure: Precision and expertise come first

The procedure of inserting a dermal piercing requires exceptional precision, sterile conditions, and, most importantly, an experienced and certified piercing artist. Going to an unskilled person can lead to serious complications, including infections, improper healing, and permanent scars. The process itself begins with a detailed consultation during which the ideal position and appropriate jewelry are selected.

Before the procedure itself, the skin in the selected area is thoroughly cleaned and disinfected. There are two primary methods for creating the "pocket" into which the anchor is inserted:

• Needle method: A standard piercing needle is used to create an opening and a small subcutaneous pocket into which the anchor base is then carefully inserted. This method is more common and many consider it less invasive.


• Dermal punch method: A specialized medical tool known as a dermal punch is used, which removes a small, circular piece of tissue. The anchor is placed directly into the space created. This technique ensures a more precise fit of the anchor, which potentially reduces the risk of rejection, but it is considered somewhat more invasive.

After the anchor is securely placed under the skin, the artist attaches the chosen decorative top to it. The entire procedure is relatively quick and takes only a few minutes. The pain is individual, but most people describe it as a short, sharp sting, similar to the feeling of a standard piercing or receiving an injection.

Popular locations for dermal piercings

One of the biggest advantages of dermal piercings is their versatility. They can be placed on almost any flat surface of the body, allowing for the creation of unique patterns and combinations. Some of the most popular locations include:

• Chest and décolletage: The sternum area is extremely popular, where one or more dermals create an elegant and alluring accent.


• Face: It is often placed on the cheekbones, above or below the eyebrows, or in the dimple above the lip (the so-called "Monroe" or "Madonna" dermal). The "anti-eyebrow" piercing, which is placed on the cheekbone below the eye, is particularly popular.


• Neck and back: The nape of the neck is a very sought-after location, as is the lower back, where dermals can emphasize the line of the spine or create symmetrical patterns.


• Hips and stomach: A popular place to accentuate the body's curves, they are often placed symmetrically on both sides.


• Hands and fingers: Although they are aesthetically very attractive, dermals on the hands, and especially on the fingers, are exposed to a high risk of snagging, shifting, and rejection due to constant use and movement.

Aftercare and the healing process: The key to the longevity of your decoration

Proper aftercare is absolutely crucial for the successful healing and longevity of a dermal piercing. The initial recovery period is the most critical. Immediately after the procedure, the piercing will be covered with a small bandage, which is recommended to be worn for the first few days to prevent it from snagging on clothing and to keep out dirt. The healing process can last from one to three months, and sometimes longer, depending on the location and the individual's ability to regenerate.

Basic aftercare guidelines include:

• Cleaning: Two to three times a day, the area around the piercing should be carefully cleaned with a sterile saline solution. The solution is applied to a sterile gauze pad, which is used to gently dab the area. Avoid aggressive rubbing.


• Avoiding contamination: Never touch the piercing with unwashed hands. Avoid using harsh agents such as alcohol, hydrogen peroxide, or antibiotic ointments, as they can irritate the skin and slow down healing.


• Care when dressing: Be extremely careful when dressing, undressing, and drying with a towel. A dermal can easily get caught, which can lead to irritation, tissue damage, or even complete tearing. It is recommended to wear looser clothing that does not put pressure on the piercing.


• Restrictions: During the first few weeks, avoid swimming in pools, lakes, the sea, and jacuzzis to prevent the risk of bacterial infections.

It is important to monitor the condition of the piercing. Slight redness and tenderness in the first few days are normal, but if you notice increased pain, swelling, pus discharge, or unusual redness that is spreading, contact your piercing artist or doctor immediately.

Possible risks and complications

Although a dermal piercing is relatively safe when performed by a professional, like any body modification, it carries certain risks. The most common complication is rejection and migration. This is a process in which the body recognizes the jewelry as a foreign object and gradually pushes it towards the surface of the skin. Signs of rejection include thinning of the skin above the anchor, movement of the jewelry from its original position, and the visibility of the base through the skin. Unfortunately, once the rejection process begins, it cannot be stopped, and the only solution is to remove the piercing to minimize scarring.

Other risks include:

• Infections: Can result from inadequate hygiene during insertion or improper aftercare.


• Scars: After removal or rejection, a small scar will remain at the site of the piercing. There is also a risk of hypertrophic or keloid scars forming in individuals who are prone to them.


• Physical trauma: A strong snag or impact can damage the surrounding tissue, cause bleeding, and in the worst case, completely tear the jewelry out of the skin.


• Improper embedding: If the anchor is not placed at the correct depth, it can be too deep or too shallow, which increases the chances of complications and rejection.

Removing a dermal piercing

Unlike a traditional piercing, a dermal cannot be simply taken out. The removal process must be performed exclusively by a professional piercer or a medical professional. The procedure usually involves a small incision with a scalpel next to the base of the piercing to release the anchor that has fused with the tissue. Although it sounds painful, the procedure is quick and is performed with local anesthesia if necessary. After removal, a small wound remains on the site, which will heal over time and turn into a discreet scar.