Summary

• The manufacturers of piercing guns do NOT recommend their use for this type of piercing
• Healing Time: 6 - 12 months
• Do not touch your piercing, or let others touch it while it is healing
• Clean your healing piercing only once a day, with antibacterial soap
• Never use alcohol swabs, Betadine or hydrogen peroxide to clean your piercing
• Pain, redness and unusual discharge may be due to infection. Consult your piercer or a physician if you develop any of these symptoms
• Take vitamin C and zinc to maximise your healing
• Wait till your piercing is healed before changing jewelry yourself

Daily Care Routine

• Do not touch your piercing unless you are cleaning it. Unwashed hands carry bacteria and your piercing is a point where these bacteria can penetrate below your skin and cause an infection.
• While healing, at least for the first 2 - 3 weeks, your piercing will need to be cleaned once daily - whilst showering is ideal. You will need to use an antibacterial soap that contains triclosan (e.g. Dettol Liquid Soap).

  The step-by-step procedure is:

1. Wash your hands with antibacterial soap.
2. Wet the piercing with plain water.
3. Put a few drops of antibacterial soap on the piercing and work them into a lather with a cotton bud.
4. Try to loosen any crusted discharge and float it off the jewelry and your skin with the cotton bud.
5. Leave the antibacterial soap on the piercing for two minutes while rotating the jewelry back and forth, allowing the disinfectant to penetrate the piercing.
6. Rinse with water and air dry thoroughly.

Piercing Options and Jewelry Choices

• Suitable Types:
  1. Captured bead rings
     Rings are much cheaper than bar bells, but they do tend to park flat against the skin. Special pliers are usually required to remove or replace the bead.
  2. Curved bar bells
     Either choose internally threaded bar bells or, if the bar is externally threaded, be very sure that no threads are exposed.
• Suitable Sizes:
  Only 14 gauge or heavier jewelry should be used. Smaller gauges will migrate out through the skin.
• Suitable Materials:
  Surgical Stainless Steel, 18 carat gold, titanium, niobium.
  Do not use 9 carat gold, silver (which can stain the tissues permanently), or gold plated jewelry in new piercings. In a healing piercing the gold plating will wear off the jewelry before the piercing is healed. This is not such a problem in healed piercings.
• Changing Jewelry:
  It is possible to change jewelry during the first 2 months, but this is best done by a professional piercer. Once a piercing is healed anyone can change the jewelry.

Other Issues

• Bacterial Infections
  
  1. Symptoms include increased pain, increased redness and an increase in the amount and thickness of the discharge. The infected discharge is usually thick and yellow, green or grey and may have an unusual odour.
  2. Consult with your physician or piercer and do not remove the jewelry until you seek advice. Removing the jewelry may prevent pus draining and cause an abscess to form.
• Cleaning Agents
  Never use alcohol swabs, Betadine, chlorhexidine, hydrogen peroxide, methylated spirit, or tea tree oil to clean your piercing. These do kill bacteria but they also destroy your healing flesh. The killed flesh then becomes easily infected.
• Exercising:
  Be careful not to knock the piercing accidentally when playing sport or doing physical work. You can use a bandage to protect it, but afterwards remove it and wash the piercing as soon as possible.
• Lavender Oil
  This essential oil lubricates the piercing and is reputed to reduce scar tissue and prevent tightening. It must be used in its dilute form, a drop applied to each side of the piercing with a cotton bud, the excess removed, and then the jewelry moved back and forth through the piercing. The correct dilution is 10 drops lavender oil in 15mls grapeseed or sweet almond oil.
• Sleeping:
  Wear a bra or use surgical tape while sleeping to protect the piercing.
• Smoking
  
  Smoking slows healing by suppressing your immune system and blood circulation to the skin.If you cannot stop smoking then you should reconsider having any piercings.
• Swimming
  Swimming is not prohibited while your piercing is healing, but you should only swim for short periods in pools that are thoroughly chlorine- or ozone-treated. Do not let your skin become wrinkly and soft. If you swim in the ocean or waterways, do not swim after heavy rain. Storm water run-off often contains bacteria and parasites.
• Tightening:
  Tightening can occur in all piercings. The skin at either or both ends can grow tightly against the jewelry. This is not dangerous and will usually resolve if the piercing is rotated or moved about with each daily washing. However, you should not rotate the piercing excessively as this can delay healing.
• Viral Infections
  Viruses such as Hepatitis A, B, and C, and HIV can penetrate a piercing that has not healed. These viruses may be present in the blood, saliva, semen, sweat and vaginal secretions of infected persons. Until your piercing has healed avoid any other person's bodily fluids contacting your piercing.
• Vitamins:
  Studies have shown that vitamin C and zinc promote wound healing. Aim for about 2000-3000 mg vitamin C and 100 mg zinc daily. Note that these amounts are not available in multivitamin tablets. Ask at your pharmacist or health-food store for advice on suitable products. If you are taking any medications, ask your pharmacist to make sure there are no interactions between them and the vitamin C and zinc you intend to take. For example, vitamin C can delay the absorption of the contraceptive pill - they should be taken at different times.