Microdermal Piercings: What You Need to Know 

Last Updated on July 23, 2025

What Makes Microdermal Piercings Unique

Unlike traditional piercings that pass through skin, microdermal piercings are anchored beneath the surface. The jewelry includes two parts: a base (anchor) that sits under your skin and a visible top piece you can swap out once healed. These piercings can be placed on flat areas of the body like the chest, back, or wrist.

How They’re Done: Needle vs. Dermal Punch

There are two main ways to insert the anchor:

• Needle method: Separates the skin to make space for the anchor.
• Dermal punch: Removes a small piece of tissue to form a pocket.

Both methods are quick, but healing and comfort may vary slightly.

What to Know Before You Get One

Choose an Experienced Piercer

Not all piercers have experience with microdermals. Look for someone who has done this specific procedure, uses sterilized tools, and works in a clean, well-reviewed studio. Ask to see photos of past work.

Pick the Right Spot

Microdermal piercings can be placed in many locations, but choose a spot that will not get bumped or snagged often. Daily friction from clothing or movement can irritate the piercing or cause complications.

Understand the Risks

Microdermals carry a risk of:

• Infection if not cleaned properly
• Scarring
• Rejection, where your body pushes the jewelry out

Knowing these risks can help you take the right precautions.

Get Ready for the Appointment

Eat beforehand and stay hydrated. Wear comfortable, loose clothing that will not press against the piercing site. Bring any questions you have so you feel confident and informed.

What to Expect During the Procedure

Clean Tools and Safety Measures

Your piercer should sterilize all tools and prep your skin with an antiseptic. They should wear gloves and use sterile equipment to reduce infection risk.

Step-by-Step Overview

1. The piercer marks your skin.
2. They use a needle or dermal punch to make a small pocket.
3. The anchor is inserted under the skin.
4. The top piece is screwed in and made visible.

The process takes only a few minutes.

Pain Level

You’ll feel a sharp pinch, but the pain is brief. Afterward, avoid touching the site and follow aftercare steps to manage discomfort.

How to Care for Your Piercing

Immediate Aftercare

• Clean twice daily with saline or sea salt solution
• Pat dry with a clean paper towel
• Avoid touching the area with unwashed hands
• Keep it dry and protected from water exposure
• Wear loose clothing to prevent friction

Long-Term Care Tips

• Clean daily for the first few months
• Do not use harsh cleaners like alcohol or peroxide
• Change bedding often and avoid bumping the piercing
• Use sunscreen if the piercing is exposed to sunlight
• Periodically check the tightness of the jewelry top

Healing Timeline

Healing usually takes 1 to 3 months, but can take up to a year depending on your body and how well you follow aftercare. Avoid switching jewelry tops until fully healed.

Handling Issues Early

If you see swelling, discharge, or feel warmth, it could be infected. Clean it and contact your piercer if it does not improve. If the anchor becomes visible or the skin around it thins, it may be a sign of rejection.

Choosing and Caring for Jewelry

Jewelry Styles

Microdermal tops come in a variety of styles, including:

• Simple discs
• Sparkling gemstones
• Custom shapes like stars or hearts

This makes it easy to match your piercing to your personal style.

Best Materials for Sensitive Skin

Stick with hypoallergenic materials like:

• Titanium
• Niobium
• Surgical stainless steel (high-quality only)

Titanium is lightweight and strong, making it a top choice for sensitive skin.

Changing Jewelry Safely

Wait until the piercing is fully healed before changing the top. Wash your hands, use sterilized jewelry, and screw the top on gently. This reduces the risk of infection or irritation.

Daily Life with Microdermals

Managing Daily Routines

Be careful not to snag the piercing during everyday tasks like dressing or brushing your hair. Loose-fitting clothes help reduce the risk.

Staying Active

If you play sports or work out, choose low-impact exercises at first. Cover the piercing with a bandage for added protection, especially during contact activities.

Bathing and Swimming

Avoid swimming in pools or natural water for the first few weeks. Chlorine and bacteria can increase the risk of infection. After swimming, always dry the area carefully.

Sleep Positioning

Avoid sleeping directly on the piercing. Try a donut-style pillow or sleep on your back. Change pillowcases frequently to reduce bacteria exposure.

Spotting and Solving Problems

Infections

Watch for redness, swelling, pus, or pain. Clean the area and seek professional help if symptoms persist.

Allergic Reactions

If you notice itching or a rash, you may be reacting to the jewelry material. Switch to titanium or niobium and consult a professional if symptoms continue.

Rejection or Migration

If the anchor starts surfacing or shifting, your body may be rejecting it. Avoid pressure or trauma to the area. See a piercer to discuss your options.

When to Call a Doctor

High fever, red streaks, or severe pain may signal a serious infection. Do not wait — see a doctor immediately.

Safe Removal and Scar Prevention

Professional Removal

Never try to remove a microdermal piercing on your own. A trained piercer or dermatologist can do it safely using sterile tools. This helps prevent infections and reduces scarring.

After Removal Care

Wash the area gently with soap and water. Use antibiotic ointment if advised. Avoid picking at the site and keep it clean.

Minimizing Scarring

Apply silicone scar sheets or gel, and massage the area with vitamin E oil after it heals. Keep it out of the sun, or use SPF to prevent scar darkening. If scars persist, consult a dermatologist.