Body piercing
Encyclopedia
Body piercing, a form of body modification
Body modification
Body modification is the deliberate altering of the human body for any non-medical reason, such as aesthetics, sexual enhancement, a rite of passage, religious reasons, to display group membership or affiliation, to create body art, shock value, or self expression...

, is the practice of puncturing or cutting a part of the human body, creating an opening in which jewelry may be worn. The word piercing can refer to the act or practice of body piercing, or to an opening in the body created by this act or practice. The history of body piercing is obscured by a lack of scholarly reference and popular misinformation, ample evidence exists to document that it has been practiced in various forms by both sexes since ancient times throughout the world.

Ear piercing and nose piercing
Nose piercing
Nose piercing is the piercing of the skin or cartilage which forms any part of the nose, normally for the purpose of wearing jewelry; among the different varieties of nose piercings, the nostril piercing is the most common...

 have been particularly widespread and are well represented in historical records and among grave goods
Grave goods
Grave goods, in archaeology and anthropology, are the items buried along with the body.They are usually personal possessions, supplies to smooth the deceased's journey into the afterlife or offerings to the gods. Grave goods are a type of votive deposit...

. Ancient Mesopotamian legal codes contain procedures for ear piercing to denote one's social status as a slave or indentured servant. The oldest mummified
Mummy
A mummy is a body, human or animal, whose skin and organs have been preserved by either intentional or incidental exposure to chemicals, extreme coldness , very low humidity, or lack of air when bodies are submerged in bogs, so that the recovered body will not decay further if kept in cool and dry...

 remains ever discovered were sporting earring
Earring
Common locations for piercings, other than the earlobe, include the rook, tragus, and across the helix . The simple term "ear piercing" usually refers to an earlobe piercing, whereas piercings in the upper part of the external ear are often referred to as "cartilage piercings"...

s, attesting to the existence of the practice more than 5,000 years ago. Nose piercing is documented as far back as 1500 BC
Common Era
Common Era ,abbreviated as CE, is an alternative designation for the calendar era originally introduced by Dionysius Exiguus in the 6th century, traditionally identified with Anno Domini .Dates before the year 1 CE are indicated by the usage of BCE, short for Before the Common Era Common Era...

. Piercings of these types have been documented globally, while lip
Lip piercing
A lip piercing is a type of body piercing that penetrates the lips or the area surrounding the lips, which can be pierced in a variety of ways.Approximate healing times for most lip piercings are between 1 to 2 months, however there is a possibility of serious infections developing if the piercing...

 and tongue piercing
Tongue piercing
A tongue piercing is a body piercing usually done directly through the center of the tongue, and is the most popular piercing site in the western world after the ear and nostril.-History and culture:...

s were historically found in African and American tribal cultures. Nipple
Nipple piercing
A nipple piercing is a piercing, centered usually at the base of the nipple. It can be pierced at any angle but is usually done horizontally or, less often, vertically. It is also possible to place multiple piercings on top of one another...

 and genital piercing
Genital piercing
Genital piercing is a form of body piercing and is considered a form of body modification. It involves piercing a part of the genitalia and subsequently inserting and keeping a foreign object in the opening until the wound heals. This forms a tunnel of skin around the foreign object, thus creating...

 have also been practiced by various cultures, with nipple piercing dating back at least to Ancient Rome
Ancient Rome
Ancient Rome was a thriving civilization that grew on the Italian Peninsula as early as the 8th century BC. Located along the Mediterranean Sea and centered on the city of Rome, it expanded to one of the largest empires in the ancient world....

 while genital piercing is described in Ancient India
Ancient India
Ancient India may refer to:* The ancient history of India, which generally includes the ancient history of the Asian Subcontinent, including:*Science and technology in ancient India**Indian mathematics**Astronomy**List of Indian inventions...

 ca. 320 to 550 CE
Common Era
Common Era ,abbreviated as CE, is an alternative designation for the calendar era originally introduced by Dionysius Exiguus in the 6th century, traditionally identified with Anno Domini .Dates before the year 1 CE are indicated by the usage of BCE, short for Before the Common Era Common Era...

 The history of navel piercing
Navel piercing
A navel piercing is a type of body piercing. It may heal very quickly and with no problems, like an ear piercing, or may heal more like a surface piercing with the associated extended healing time. Healing usually takes less than six months, and as long as it is cleaned, it will heal nicely...

 is less clear. The practice of body piercing has waxed and waned in Western culture
Western culture
Western culture, sometimes equated with Western civilization or European civilization, refers to cultures of European origin and is used very broadly to refer to a heritage of social norms, ethical values, traditional customs, religious beliefs, political systems, and specific artifacts and...

, but it has experienced an increase of popularity since World War II
World War II
World War II, or the Second World War , was a global conflict lasting from 1939 to 1945, involving most of the world's nations—including all of the great powers—eventually forming two opposing military alliances: the Allies and the Axis...

, with sites other than the ears gaining subcultural popularity in the 70s and spreading to mainstream in the 1990s.

The reasons for piercing or not piercing are varied. Some people pierce for religious or spiritual reasons, while others pierce for self-expression, for aesthetic value, for sexual pleasure, to conform to their culture or to rebel against it. Some forms of piercing remain controversial, particularly when applied to youth. The display or placement of piercings have been restricted by schools, employers and religious groups. In spite of the controversy, some people have practiced extreme forms of body piercing, with Guinness
Guinness
Guinness is a popular Irish dry stout that originated in the brewery of Arthur Guinness at St. James's Gate, Dublin. Guinness is directly descended from the porter style that originated in London in the early 18th century and is one of the most successful beer brands worldwide, brewed in almost...

 bestowing World Record
World record
A world record is usually the best global performance ever recorded and verified in a specific skill or sport. The book Guinness World Records collates and publishes notable records of all types, from first and best to worst human achievements, to extremes in the natural world and beyond...

s on individuals with hundreds and even thousands of permanent and temporary piercings.

Contemporary body piercing practices emphasize the use of safe body piercing materials
Body piercing materials
In modern Western body piercing, a wide variety of materials are used. Some cannot be autoclaved, and others are may induce allergic reactions, or harbour bacteria...

, frequently utilizing specialized tools developed for the purpose. Body piercing is an invasive procedure with some risks, including allergic reaction, infection
Infection
An infection is the colonization of a host organism by parasite species. Infecting parasites seek to use the host's resources to reproduce, often resulting in disease...

, excessive scar
Scar
Scars are areas of fibrous tissue that replace normal skin after injury. A scar results from the biological process of wound repair in the skin and other tissues of the body. Thus, scarring is a natural part of the healing process. With the exception of very minor lesions, every wound results in...

ring and unanticipated physical injuries, but such precautions as sanitary piercing procedures and careful aftercare are emphasized to minimize the likelihood of encountering serious problems. The healing time required for a body piercing may vary widely according to placement, from as little as a month for some genital piercings to as much as two full years for the navel.

History

Body adornment has only recently become a subject of serious scholarly research by archaeologists, who have been hampered in studying body piercing by a sparsity of primary sources. Early records rarely discussed the use of piercings or their meaning, and while jewellery is common among grave goods, the deterioration of the flesh that it once adorned makes it difficult to discern how the jewellery may have been used. Also, the modern record has been infiltrated with the 20th century inventions of piercing enthusiast Doug Malloy. In the 1960s and 1970s, Malloy marketed contemporary body piercing by giving it the patina of history. His pamphlet Body & Genital Piercing in Brief included such commonly reproduced urban legend
Urban legend
An urban legend, urban myth, urban tale, or contemporary legend, is a form of modern folklore consisting of stories that may or may not have been believed by their tellers to be true...

s as the notion that Prince Albert
Prince Albert
Prince Albert was the husband and consort of Queen Victoria.Prince Albert may also refer to:-Royalty:*Prince Albert Edward or Edward VII of the United Kingdom , son of Albert and Victoria...

 invented the piercing that shares his name
Prince Albert piercing
For other uses of "Prince Albert", see Prince Albert The Prince Albert is one of the more common male genital piercings...

 in order to tame the appearance of his large penis in tight trousers and that Roman centurion
Centurion
A centurion was a professional officer of the Roman army .Centurion may also refer to:-Military:* Centurion tank, British battle tank* HMS Centurion, name of several ships and a shore base of the British Royal Navy...

s attached their capes to nipple piercings. Some of Malloy's myths are reprinted as fact in subsequently published histories of piercing.

Ear piercing

Ear piercing has been practised all over the world since ancient times, particularly in tribal cultures. There is considerable written and archaeological evidence of the practice. Mummified bodies with pierced ears have been discovered, including the oldest mummified body discovered to date, the 5,300 year-old Ötzi the Iceman
Ötzi the Iceman
Ötzi the Iceman , Similaun Man, and Man from Hauslabjoch are modern names for a well-preserved natural mummy of a man who lived about 5,300 years ago. The mummy was found in September 1991 in the Ötztal Alps, near Hauslabjoch on the border between Austria and Italy. The nickname comes from the...

, which was found in a Valentina Trujillon glacier
Glacier
A glacier is a large persistent body of ice that forms where the accumulation of snow exceeds its ablation over many years, often centuries. At least 0.1 km² in area and 50 m thick, but often much larger, a glacier slowly deforms and flows due to stresses induced by its weight...

 in Austria. This mummy had an ear piercing 7–11 mm (1 to 000 gauge in American wire gauge
American wire gauge
American wire gauge , also known as the Brown & Sharpe wire gauge, is a standardized wire gauge system used since 1857 predominantly in the United States and Canada for the diameters of round, solid, nonferrous, electrically conducting wire...

) diameter. The oldest earrings found in a grave date to 2500 BCE. These were located in the Sumer
Sumer
Sumer was a civilization and historical region in southern Mesopotamia, modern Iraq during the Chalcolithic and Early Bronze Age....

ian city of Ur
Ur
Ur was an important city-state in ancient Sumer located at the site of modern Tell el-Muqayyar in Iraq's Dhi Qar Governorate...

, home of the Biblical
Bible
The Bible refers to any one of the collections of the primary religious texts of Judaism and Christianity. There is no common version of the Bible, as the individual books , their contents and their order vary among denominations...

 patriarch
Patriarchs (Bible)
The Patriarchs of the Bible, when narrowly defined, are Abraham, the ancestor of all the Abrahamic nations; his son Isaac, the ancestor of the nations surrounding Israel/Judah; and Isaac's son Jacob, also named Israel, the ancestor of the Israelites...

 Abraham
Abraham
Abraham , whose birth name was Abram, is the eponym of the Abrahamic religions, among which are Judaism, Christianity and Islam...

. Earrings are mentioned in the Bible. In Genesis 35:4, Jacob
Jacob
Jacob "heel" or "leg-puller"), also later known as Israel , as described in the Hebrew Bible, the Talmud, the New Testament and the Qur'an was the third patriarch of the Hebrew people with whom God made a covenant, and ancestor of the tribes of Israel, which were named after his descendants.In the...

 buries the earrings worn by members of his household along with their idols
Cult image
In the practice of religion, a cult image is a human-made object that is venerated for the deity, spirit or daemon that it embodies or represents...

. In Exodus 32, Aaron
Aaron
In the Hebrew Bible and the Qur'an, Aaron : Ααρών ), who is often called "'Aaron the Priest"' and once Aaron the Levite , was the older brother of Moses, and a prophet of God. He represented the priestly functions of his tribe, becoming the first High Priest of the Israelites...

 makes the golden calf
Golden calf
According to the Hebrew Bible, the golden calf was an idol made by Aaron to satisfy the Israelites during Moses' absence, when he went up to Mount Sinai...

 from melted earrings. Deuteronomy
Deuteronomy
The Book of Deuteronomy is the fifth book of the Hebrew Bible, and of the Jewish Torah/Pentateuch...

 15:12–17 dictates ear piercing for a slave who chooses not to be freed. Earrings are also referenced in connection to the Hindu
Hindu
Hindu refers to an identity associated with the philosophical, religious and cultural systems that are indigenous to the Indian subcontinent. As used in the Constitution of India, the word "Hindu" is also attributed to all persons professing any Indian religion...

 goddess Lakshmi
Lakshmi
Lakshmi or Lakumi is the Hindu goddess of wealth, prosperity , light, wisdom, fortune, fertility, generosity and courage; and the embodiment of beauty, grace and charm. Representations of Lakshmi are also found in Jain monuments...

 in the Vedas
Vedas
The Vedas are a large body of texts originating in ancient India. Composed in Vedic Sanskrit, the texts constitute the oldest layer of Sanskrit literature and the oldest scriptures of Hinduism....

. Earrings for pierced ears were found in a grave in the Ukok
Ukok
Ukok is a village in the Naryn Province of Kyrgyzstan....

 region between Russia and China dated between 400 and 300 BCE.
Among the Tlingit of the Pacific Northwest
Pacific Northwest
The Pacific Northwest is a region in northwestern North America, bounded by the Pacific Ocean to the west and, loosely, by the Rocky Mountains on the east. Definitions of the region vary and there is no commonly agreed upon boundary, even among Pacific Northwesterners. A common concept of the...

 of America, earrings were a sign of nobility and wealth, as the placement of each earring on a child had to be purchased at an expensive potlatch
Potlatch
A potlatch is a gift-giving festival and primary economic system practiced by indigenous peoples of the Pacific Northwest Coast of Canada and United States. This includes Heiltsuk Nation, Haida, Nuxalk, Tlingit, Makah, Tsimshian, Nuu-chah-nulth, Kwakwaka'wakw, and Coast Salish cultures...

. Earrings were common in the Eighteenth dynasty
Eighteenth dynasty of Egypt
The eighteenth dynasty of ancient Egypt is perhaps the best known of all the dynasties of ancient Egypt...

 of Egypt (1550–1292 BCE), generally taking the form of a dangling, gold hoop. Gem-studded, golden earrings shaped like asps seem to have been reserved for nobility. The ancient Greeks
Ancient Greece
Ancient Greece is a civilization belonging to a period of Greek history that lasted from the Archaic period of the 8th to 6th centuries BC to the end of antiquity. Immediately following this period was the beginning of the Early Middle Ages and the Byzantine era. Included in Ancient Greece is the...

 wore paste pendant earrings shaped like sacred birds or demigod
Demigod
The term "demigod" , meaning "half-god", is commonly used to describe mythological figures whose one parent was a god and whose other parent was human; as such, demigods are human-god hybrids...

s, while the women of ancient Rome wore precious gemstone
Gemstone
A gemstone or gem is a piece of mineral, which, in cut and polished form, is used to make jewelry or other adornments...

s in their ears.

In Europe, earrings for women fell from fashion generally between the 4th and 16th centuries, as styles in clothing and hair tended to obscure the ears, but they gradually thereafter came back into vogue in Italy, Spain, England and France—spreading as well to North America—until after World War I when piercing fell from favor and the newly invented Clip-on earring became fashionable. According to The Anatomie of Abuses by Philip Stubbs
Philip Stubbs
Philip Stubbs , English pamphleteer, was born about 1555.He was from Cheshire, possibly the area near Congleton. According to Anthony Wood he was educated at Cambridge and subsequently at Oxford, but did not take a degree and his name is not in university records. He is reputed to have been a...

, earrings were even more common among men of the 16th century than women, while Raphael Holinshed
Raphael Holinshed
Raphael Holinshed was an English chronicler, whose work, commonly known as Holinshed's Chronicles, was one of the major sources used by William Shakespeare for a number of his plays....

 in 1577 confirms the practice among "lusty courtier
Courtier
A courtier is a person who is often in attendance at the court of a king or other royal personage. Historically the court was the centre of government as well as the residence of the monarch, and social and political life were often completely mixed together...

s" and "gentlemen of courage." Evidently originating in Spain, the practice of ear piercing among European men spread to the court of Henry III of France
Henry III of France
Henry III was King of France from 1574 to 1589. As Henry of Valois, he was the first elected monarch of the Polish-Lithuanian Commonwealth with the dual titles of King of Poland and Grand Duke of Lithuania from 1573 to 1575.-Childhood:Henry was born at the Royal Château de Fontainebleau,...

 and then to Elizabethan era
Elizabethan era
The Elizabethan era was the epoch in English history of Queen Elizabeth I's reign . Historians often depict it as the golden age in English history...

 England, where earrings (typically worn in one ear only) were sported by such notables as Robert Carr, 1st Earl of Somerset
Robert Carr, 1st Earl of Somerset
Robert Carr, 1st Earl of Somerset, , was a politician, and favourite of King James I of England.-Background:Robert Kerr was born in Wrington, Somerset, England the younger son of Sir Thomas Kerr of Ferniehurst, Scotland by his second wife, Janet, sister of Walter Scott of Buccleuch...

, Shakespeare, Sir Walter Raleigh and Charles I of England
Charles I of England
Charles I was King of England, King of Scotland, and King of Ireland from 27 March 1625 until his execution in 1649. Charles engaged in a struggle for power with the Parliament of England, attempting to obtain royal revenue whilst Parliament sought to curb his Royal prerogative which Charles...

. Common men wore earrings as well. From the European Middle Ages
Middle Ages
The Middle Ages is a periodization of European history from the 5th century to the 15th century. The Middle Ages follows the fall of the Western Roman Empire in 476 and precedes the Early Modern Era. It is the middle period of a three-period division of Western history: Classic, Medieval and Modern...

, a superstitious belief that piercing one ear improved long-distance vision led to the practice among sailors and explorers. Sailors also pierced their ears in the belief that their earrings could pay for a Christian burial if their bodies washed up on shore.

Nose piercing

Nose piercing also has a long history. Ca. 1500 BCE, the Vedas refer to Lakshmi's nose piercings, but modern practice in India is believed to have spread from the Middle Eastern nomadic tribes by route of the Mughal emperors in the 16th century. It remains customary for Indian Hindu
Hindu
Hindu refers to an identity associated with the philosophical, religious and cultural systems that are indigenous to the Indian subcontinent. As used in the Constitution of India, the word "Hindu" is also attributed to all persons professing any Indian religion...

 women of childbearing age to wear a nose stud, usually in the left nostril, due to the nostril's association with the female reproductive organs in Ayurvedic medicine. This piercing is sometimes done the night before the woman marries.

In Genesis 24:22, Abraham's servant gave Rebbeca a nose ring. Nose piercing has been practiced by the Bedouin
Bedouin
The Bedouin are a part of a predominantly desert-dwelling Arab ethnic group traditionally divided into tribes or clans, known in Arabic as ..-Etymology:...

 tribes of the Middle East and the Berber
Berber people
Berbers are the indigenous peoples of North Africa west of the Nile Valley. They are continuously distributed from the Atlantic to the Siwa oasis, in Egypt, and from the Mediterranean to the Niger River. Historically they spoke the Berber language or varieties of it, which together form a branch...

 and Beja
Beja people
The Beja people are an ethnic group dwelling in parts of North Africa and the Horn of Africa.-Geography:The Beja are found mostly in Sudan, but also in parts of Eritrea, and Egypt...

 peoples of Africa, as well as Australian Aborigines
Australian Aborigines
Australian Aborigines , also called Aboriginal Australians, from the latin ab originem , are people who are indigenous to most of the Australian continentthat is, to mainland Australia and the island of Tasmania...

. Many Native American and Alaskan tribes practiced septum piercing. It was popular among the Aztec
Aztec
The Aztec people were certain ethnic groups of central Mexico, particularly those groups who spoke the Nahuatl language and who dominated large parts of Mesoamerica in the 14th, 15th and 16th centuries, a period referred to as the late post-classic period in Mesoamerican chronology.Aztec is the...

s, the Mayans and the tribes of New Guinea, who adorned their pierced noses with bones and feathers to symbolize wealth and (among men) virility. The name of the Nez Perce tribe was derived from the practice, though nose piercing was not common within the tribe. The Aztecs, Mayans and Incas wore gold septum rings for adornment, with the practice continued to this day by the Kuna
Kuna (people)
Kuna or Cuna is the name of an indigenous people of Panama and Colombia. The spelling Kuna is currently preferred. In the Kuna language, the name is Dule or Tule, meaning "people," and the name of the language in Kuna is Dulegaya, meaning "Kuna language" - Location :The Kuna live in three...

 of Panama. Nose piercing also remains popular in Pakistan and Bangladesh and is practiced in a number of Middle Eastern and Arabic countries.

Piercings of the lip and tongue

Lip piercing and lip stretching
Stretching (body piercing)
Stretching, in the context of body piercing, is the deliberate expansion of a healed fistula for the purpose of wearing body piercing jewelry. Ear piercings are the most commonly stretched piercings, with nasal septum piercings, tongue piercings and lip piercings/lip plates following close behind...

 were historically found in African and American tribal cultures. Pierced adornments of the lip, or labret
Labret
A labret is one form of body piercing. Taken literally, it is any type of adornment that is attached to the facial lip . However, the term usually refers to a piercing that is below the bottom lip, above the chin...

s, were sported by the Tlingit as well as peoples of Papua New Guinea
Papua New Guinea
Papua New Guinea , officially the Independent State of Papua New Guinea, is a country in Oceania, occupying the eastern half of the island of New Guinea and numerous offshore islands...

 and Amazonia. Aztecs and Mayans also wore labrets, while the Dogon people
Dogon people
The Dogon are an ethnic group living in the central plateau region of Mali, south of the Niger bend near the city of Bandiagara in the Mopti region. The population numbers between 400,000 and 800,000 The Dogon are best known for their religious traditions, their mask dances, wooden sculpture and...

 of Mali and the Nuba
Nuba
Nuba is a collective term used here for the peoples who inhabit the Nuba Mountains, in Sudan, Africa. Although the term is used to describe them as if they composed a single group, the Nuba are multiple distinct peoples and speak different languages...

 of Ethiopia wore rings. The practice of stretching the lips by piercing them and inserting plates or plugs
Lip plate
A lip plate, also known as a lip plug or lip disc, is a form of body modification. Increasingly larger discs are inserted into a pierced hole in either the upper or lower lip, or both, thereby stretching it...

 was found throughout Pre-Columbian
Pre-Columbian era
The pre-Columbian era incorporates all period subdivisions in the history and prehistory of the Americas before the appearance of significant European influences on the American continents, spanning the time of the original settlement in the Upper Paleolithic period to European colonization during...

 Mesoamerica and South America as well as among some of the tribes of the Pacific Northwest and Africa. In some parts of Malawi, it was quite common for women to adorn their lips with a lip disc called a "pelele" that by means of gradual enlargement from childhood could reach several inches of diameter and would eventually alter the occlusion of the jaw. Such lip stretching is still practiced in some places. Women of the Mursi of Ethiopia wear lip rings on occasion that may reach 15 centimetres (5.9 in) in diameter.

In some Pre-Columbian and North American cultures, labrets were seen as a status symbol. They were the oldest form of high status symbol among the Haida women, though the practice of wearing them died out due to Western influence.

Tongue piercing was practiced by the Aztec, Olmec
Olmec
The Olmec were the first major Pre-Columbian civilization in Mexico. They lived in the tropical lowlands of south-central Mexico, in the modern-day states of Veracruz and Tabasco....

 and Mayan cultures as a ritual symbol. Wall paintings highlight a ritual of the Mayans during which nobility would pierce their tongues with thorns, collecting the blood on bark which would be burned in honor of the Mayan gods. It was also practiced by the Haida, Kwakiutl
Kwakiutl
The term Kwakiutl, historically applied to the entire Kwakwaka'wakw ethno-linguistic group of originally 28 tribes, comes from one of the Kwakwaka'wakw tribes, the Kwagu'ł or Kwagyeulth, at Fort Rupert, with whom Franz Boas did most of his anthropological work and whose Indian Act Band government...

 and Tlingit, as well as the Fakir
Fakir
The fakir or faqir ; ) Derived from faqr is a Muslim Sufi ascetic in Middle East and South Asia. The Faqirs were wandering Dervishes teaching Islam and living on alms....

s and Sufis of the Middle East
Middle East
The Middle East is a region that encompasses Western Asia and Northern Africa. It is often used as a synonym for Near East, in opposition to Far East...

.

Nipple, navel and genital piercing

The history of nipple, navel and genital piercing has been particularly misrepresented as many of the myths promulgated by Malloy in the pamphlet Body & Genital Piercing in Brief continue to be reprinted. For instance, according to Malloy's colleague Jim Ward, Malloy claimed navel piercing was popular among ancient Egyptian aristocrats and was depicted in Egyptian statuary, a claim that is widely repeated. Other sources say there are no records to support an historical practice for navel piercing.

However, records do exist that refer to practices of nipple and genital piercing in various cultures prior to the 20th century. Kama Sutra
Kama Sutra
The Kama Sutra is an ancient Indian Hindu text widely considered to be the standard work on human sexual behavior in Sanskrit literature written by Vātsyāyana. A portion of the work consists of practical advice on sexual intercourse. It is largely in prose, with many inserted anustubh poetry verses...

, dated to the Gupta Empire
Gupta Empire
The Gupta Empire was an ancient Indian empire which existed approximately from 320 to 550 CE and covered much of the Indian Subcontinent. Founded by Maharaja Sri-Gupta, the dynasty was the model of a classical civilization. The peace and prosperity created under leadership of Guptas enabled the...

 of Ancient India, describes genital piercing to permit sexual enhancement by inserting pins and other objects into the foreskin
Foreskin
In male human anatomy, the foreskin is a generally retractable double-layered fold of skin and mucous membrane that covers the glans penis and protects the urinary meatus when the penis is not erect...

 of the penis. The Dayak
Dayak people
The Dayak or Dyak are the native people of Borneo. It is a loose term for over 200 riverine and hill-dwelling ethnic subgroups, located principally in the interior of Borneo, each with its own dialect, customs, laws, territory and culture, although common distinguishing traits are readily...

 tribesmen of Borneo
Borneo
Borneo is the third largest island in the world and is located north of Java Island, Indonesia, at the geographic centre of Maritime Southeast Asia....

 passed a shard of bone through their glans
Glans penis
The glans penis is the sensitive bulbous structure at the distal end of the penis. The glans penis is anatomically homologous to the clitoral glans of the female...

 for the opposite reason, to diminish their sexual activity. In the Jewish Shabbat
Shabbat (Talmud)
Shabbat is first tractate in the Order of Moed, of the Mishnah and Talmud. The tractate consists of 24 chapters.The tractate primarily deals with laws relating to Shabbat , and the activities prohibited on Shabbat and distinguishes between Biblical prohibitions and Rabbinic prohibitions...

, there may be mention of a genital piercing in the probition against the kumaz in passage 24 (a), which medieval French Talmud
Talmud
The Talmud is a central text of mainstream Judaism. It takes the form of a record of rabbinic discussions pertaining to Jewish law, ethics, philosophy, customs and history....

ic commenter Rashi
Rashi
Shlomo Yitzhaki , or in Latin Salomon Isaacides, and today generally known by the acronym Rashi , was a medieval French rabbi famed as the author of a comprehensive commentary on the Talmud, as well as a comprehensive commentary on the Tanakh...

 interpreted as a chastity piercing
Chastity piercing
-Females:A ring or other device is used to hold the labia closed, preventing the wearer from having vaginal sexual intercourse. When denial of direct stimulation of the clitoris is the goal, a rigid shield can be fastened over the clitoral area with labial piercings.-Males:In males, chastity...

 for women. Other interpreters have, however, suggested that the kumaz was rather a pendant shaped like a vulva or a girdle.

Nipple piercing may have been a sign of masculinity for the soldiers of Rome. Nipple piercing has also been connected to rites of passage for both British and American sailors who had traveled beyond a significant latitude and longitude. Western women of the 14th century sometimes sported pierced as well as rouged nipples left visible by the low-cut dresses fashionable in the day. It is widely reported that in the 1890s, nipple rings called "bosom rings" resurfaced as a fashion statement among women of the West, who would wear them on one or both sides, but if such a trend existed, it was short-lived.

Growing popularity in the West

By the early part of the 20th century, piercing of any body part had become uncommon in the West. After World War II, it began gathering steam among the gay male
Homosexuality
Homosexuality is romantic or sexual attraction or behavior between members of the same sex or gender. As a sexual orientation, homosexuality refers to "an enduring pattern of or disposition to experience sexual, affectional, or romantic attractions" primarily or exclusively to people of the same...

 subculture
Subculture
In sociology, anthropology and cultural studies, a subculture is a group of people with a culture which differentiates them from the larger culture to which they belong.- Definition :...

. Even ear piercing for a time was culturally unacceptable for women, but that relatively common form of piercing began growing in popularity from the 1960s. In the 1970s, piercing began to expand, as the punk
Punk subculture
The punk subculture includes a diverse array of ideologies, and forms of expression, including fashion, visual art, dance, literature, and film, which grew out of punk rock.-History:...

 movement embraced it, featuring nontraditional adornment such as safety pin
Safety pin
A safety pin is a simple fastening device, a variation of the regular pin which includes a simple spring mechanism and a clasp. The clasp serves two purposes: to form a closed loop thereby properly fastening the pin to whatever it is applied to, and to cover the end of the pin to protect the user...

s, and Fakir Musafar
Fakir Musafar
Fakir Musafar is considered the father of the modern primitive movement. He has experimented on his own body with body modification techniques such as body piercing, tightlacing, scarification, tattooing, and suspension, and has documented, shared and taught others as part of his life's work...

 began popularizing it as a form of Modern Primitivism, which incorporated piercing elements from other cultures, such as stretching
Stretching (body piercing)
Stretching, in the context of body piercing, is the deliberate expansion of a healed fistula for the purpose of wearing body piercing jewelry. Ear piercings are the most commonly stretched piercings, with nasal septum piercings, tongue piercings and lip piercings/lip plates following close behind...

.

Body piercing was also heavily popularized in the United States by a group of Californians including Malloy and Ward, who is regarded as "the founding father of modern body piercing". In 1975, Ward opened a home-based piercing business in West Hollywood, which was followed in 1978 by the opening of Gauntlet Enterprises
Gauntlet (body piercing studio)
The Gauntlet, also known as Gauntlet Enterprises, was a business founded in November 1975 by Jim Ward that pioneered the field of body piercing in North America. It was inspired by Ward's friend and mentor, Doug Malloy...

, "the first professional body piercing specialty studio in America." From it, Ward distributed the pamphlet which Malloy had written and Ward illustrated, disseminating much misinformation but stimulating interest in more exotic piercings. As word of body piercing spread to the wider community, Ward, Malloy and Musafar collaborated on launching the first publication dedicated to the subject, PFIQ
PFIQ
PFIQ is the acronym and common name for a publication known as Piercing Fans International Quarterly, which was published by Jim Ward from 1977 to 1997...

.

A significant development in body piercing in England occurred in 1987, when during Operation Spanner
Operation Spanner
Operation Spanner was the name of an operation carried out by police in the United Kingdom city of Manchester in 1987, as a result of which a group of homosexuals were convicted of assault occasioning actual bodily harm for their involvement in consensual sadomasochism over a ten year period.The...

, a group of homosexuals—including well known body piercer Alan Oversby
Alan Oversby
Alan Oversby was one of the primary figures in the development of contemporary body piercing in Europe. He was better known by his professional name Mr. Sebastian....

—were convicted of assault for their involvement in consensual sadomasochism over a 10 year period, including acts of body piercing. The courts declared that decorative body piercing was not illegal, but that erotic body piercing was. Subsequently, the group Countdown on Spanner formed in 1992 in protest. The group appealed the decision before the High Court of Justice
High Court of Justice
The High Court of Justice is, together with the Court of Appeal and the Crown Court, one of the Senior Courts of England and Wales...

, the House of Lords
House of Lords
The House of Lords is the upper house of the Parliament of the United Kingdom. Like the House of Commons, it meets in the Palace of Westminster....

 and finally the European Commission of Human Rights
European Commission of Human Rights
European Commission of Human Rights was a special tribunal.From 1954 to the entry into force of Protocol 11 of the European Convention on Human Rights, individuals did not have direct access to the European Court of Human Rights; they had to apply to the Commission, which if it found the case to be...

, attempting to overturn the verdict which ruled consent immaterial in acts of sadomasochism, without success. In spite of their repeated failures, the situation publicized the issue, with The Times
The Times
The Times is a British daily national newspaper, first published in London in 1785 under the title The Daily Universal Register . The Times and its sister paper The Sunday Times are published by Times Newspapers Limited, a subsidiary since 1981 of News International...

editorializing the court's decision as "illiberal nonsense" in 1993.
Body modification in general became more popular in the United States in the 1990s, as piercing also became more widespread, with growing availability and access to piercings of the navel, nose, eyebrows, lips, tongue, nipples and genitals. In 1993, a navel piercing was depicted in MTV Video Music Awards
MTV Video Music Awards
An MTV Video Music Award , is an award presented by the cable channel MTV to honor the best in music videos...

' "Music Video of the Year", "Cryin'," which inspired a plethora of young female fans to follow suit. According to 2009's The Piercing Bible, it was this consumer drive that "essentially inspired the creation of body-piercing as a full-fledged industry." Body piercing was given another media-related boost in 2004, when during a Half-time
Half-time
In some team sports such as association football and rugby, matches are played in two halves. Half-time is the name given to the interval between the two halves of the match...

 performance at Super Bowl XXXVIII
Super Bowl XXXVIII
Super Bowl XXXVIII was an American football game played on February 1, 2004 at Reliant Stadium in Houston, Texas to decide the National Football League champion following the 2003 regular season....

 singer Janet Jackson
Janet Jackson
Janet Damita Jo Jackson is an American recording artist and actress. Known for a series of sonically innovative, socially conscious and sexually provocative records, as well as elaborate stage shows, television and film roles, she has been a prominent figure in popular culture for over 25 years...

 experienced a "wardrobe malfunction
Wardrobe malfunction
A wardrobe malfunction is a euphemism for accidental exposure of intimate parts. It is different from flashing, as the latter implies a deliberate exposure...

" that left exposed Jackson's pierced nipple. Some professional body piercers reported considerable increases in business following the heavily publicized event
Super Bowl XXXVIII halftime show controversy
Super Bowl XXXVIII, which was broadcast live on February 1, 2004 from Houston, Texas on the CBS television network in the United States, was noted for a controversial halftime show in which Janet Jackson's breast, adorned with a nipple shield, was exposed by Justin Timberlake for about half a...

.

21st century statistics

A 2005 survey of 10,503 people in England over the age of 16 found that approximately 10% (1,049) had body piercings in sites other than the earlobe, with a heavy representation of women aged 16–24 (46.2% piercing in that demographic). Among the most common body sites, the navel was top at 33%, with the nose and ear (other than lobe) following at 19% and 13%. The tongue and nipple tied at 9%. The eyebrow, lip and genitals were 8%, 4% and 2%, respectively. Preference among women followed closely on that ranking, though eyebrow piercings were more common than nipple piercings. Among male responders, the order was significantly different, descending in popularity from nipple, eyebrow, ear, tongue, nose, lip and genitals. A cross-cultural study published in 2011 found that individuals with piercings were likely to be involved in other forms of countercultural
Counterculture
Counterculture is a sociological term used to describe the values and norms of behavior of a cultural group, or subculture, that run counter to those of the social mainstream of the day, the cultural equivalent of political opposition. Counterculture can also be described as a group whose behavior...

 expression as well.

Reasons for piercing

Reasons for piercing vary greatly.
A 2001 survey in Clinical Nursing Research, an international publication, found that 62% of people who pierced had done so in an effort "to express their individuality." People also pierce to commemorate landmark events or to overcome traumatic ones. According to the assistant director of the Frankfurt University Teaching Hospital for Psychosomatic Medicine and Psychotherapy, some sexual abuse survivors choose body piercing as a means of "reclaiming body parts from memories of abuse". Piercing can also be chosen for simple aesthetic value, to highlight particular areas of the body, as a navel piercing may reflect a woman's satisfaction with the shape and condition of her stomach. Some people pierce, permanently or temporarily, to enhance sexual pleasure. Genital and nipple piercings may increase sexual satisfaction. Some people participate in a form of body play known as play piercing
Play piercing
Play piercing, needle play, or recreational acupuncture is body piercing done for the purpose of enjoying the experience rather than producing a permanent body decoration. Needles, sharpened bones, or other tools used in play piercing are removed from the body when the episode is complete, allowing...

, in which piercings may be done temporarily on the genitals or elsewhere on the body for sexual gratification.

Piercing combined with suspension
Suspension (body modification)
A suspension is the act of suspending a human body from hooks that have been put through body piercings. These piercings are temporary and are performed just prior to the actual suspension.- Method :...

 was historically important in the religious ceremonies of some Native American
Indigenous peoples of the Americas
The indigenous peoples of the Americas are the pre-Columbian inhabitants of North and South America, their descendants and other ethnic groups who are identified with those peoples. Indigenous peoples are known in Canada as Aboriginal peoples, and in the United States as Native Americans...

s, featuring in many variants of the Sun Dance
Sun Dance
The Sun Dance is a religious ceremony practiced by a number of Native American and First Nations peoples, primarily those of the Plains Nations. Each tribe has its own distinct practices and ceremonial protocols...

 ceremony, including that practiced by the Crow Nation
Crow Nation
The Crow, also called the Absaroka or Apsáalooke, are a Siouan people of Native Americans who historically lived in the Yellowstone River valley, which extends from present-day Wyoming, through Montana and into North Dakota. They now live on a reservation south of Billings, Montana and in several...

. During the Crow ceremony, men who wished to obtain visions were pierced in the shoulders or chest by men who had undergone the ceremony in the past and then suspended by these piercings from poles in or outside of the Sun Dance Lodge. Some contemporary Southeast Asian rituals also practice body piercing, as a form of spiritual self-mortification. Generally, the subject attempts to enter an analgesic trance
Trance
Trance denotes a variety of processes, ecstasy, techniques, modalities and states of mind, awareness and consciousness. Trance states may occur involuntarily and unbidden.The term trance may be associated with meditation, magic, flow, and prayer...

 prior to the piercing.

Bridging the gap between self-expressive piercing and spiritual piercing, modern primitives use piercing and other forms of body modification as a way of ritually reconnecting with themselves and society, which according to Musafar once used piercing as a culturally binding ritual. But at the same time that piercing can be culturally binding, it may also be a means of rebellion, particularly for adolescents in Western cultures.

A fifteen year analysis published in 2011, Body Piercing and Identity Construction found that public piercing served as a mechanism of both accelerated camaraderie and political communication, while private piercings served to enhance sexuality and contest heteronormativity
Heteronormativity
Heteronormativity is a term invented in 1991 to describe any of a set of lifestyle norms that hold that people fall into distinct and complementary genders with natural roles in life. It also holds that heterosexuality is the normal sexual orientation, and states that sexual and marital relations...

.

Piercing prohibitions and taboos

While body piercing has grown more widespread, it can remain controversial, particularly in youth. In 2004, controversy erupted in Crothersville, Indiana
Crothersville, Indiana
Crothersville is a town in Vernon Township, Jackson County, Indiana, United States. The population was 1,591 at the 2010 census. It was founded in 1835 and named after Dr...

 when a local high school featured a spread on "Body Decorations" in its yearbook
Yearbook
A yearbook, also known as an annual, is a book to record, highlight, and commemorate the past year of a school or a book published annually. Virtually all American, Australian and Canadian high schools, most colleges and many elementary and middle schools publish yearbooks...

 that featured tattoos and body piercings of teachers and students. That same year, in Henry County, Georgia
Henry County, Georgia
Henry County is a growing suburban county located in the U.S. state of Georgia. As of the 2000 census, the population was 119,341. As of 2010, the county's population swelled to 203,922, up 70.9% from the previous census and becoming Georgia's 8th most populous county and the 10th fastest growing...

, a 15-year-old boy remained in in-school suspension for a full month for violating school policy by wearing eyebrow, nose, labret and tongue piercings to school before his mother decided to homeschool
Homeschooling
Homeschooling or homeschool is the education of children at home, typically by parents but sometimes by tutors, rather than in other formal settings of public or private school...

 him. According to 2006's Tattoos and Body Piercing, corporate dress codes can also strictly limit piercing displays. At that time, Starbucks
Starbucks
Starbucks Corporation is an international coffee and coffeehouse chain based in Seattle, Washington. Starbucks is the largest coffeehouse company in the world, with 17,009 stores in 55 countries, including over 11,000 in the United States, over 1,000 in Canada, over 700 in the United Kingdom, and...

 limited piercings to two per ear and jewellery to small, matched earrings. Employees of Walt Disney Parks and Resorts
Walt Disney Parks and Resorts
Walt Disney Parks and Resorts is the segment of The Walt Disney Company that conceives, builds, and manages the company's theme parks and holiday resorts, as well as a variety of additional family-oriented leisure enterprises...

 were not permitted to display piercings at all.

Body piercing in some religions is held to be destructive to the body. Some passages of the Bible
Bible
The Bible refers to any one of the collections of the primary religious texts of Judaism and Christianity. There is no common version of the Bible, as the individual books , their contents and their order vary among denominations...

, including Leviticus
Leviticus
The Book of Leviticus is the third book of the Hebrew Bible, and the third of five books of the Torah ....

 19:28, have been interpreted as prohibiting body modification because the body is held to be the property of God. The Church of Jesus Christ of Latter-day Saints has taken an official position against most piercings unless for medical reasons, although they accept piercings for women as long as there is only one set of piercings in the lower lobe of the ears and no other place on the body. Wearing of very large nose rings on Shabbat
Shabbat
Shabbat is the seventh day of the Jewish week and a day of rest in Judaism. Shabbat is observed from a few minutes before sunset on Friday evening until a few minutes after when one would expect to be able to see three stars in the sky on Saturday night. The exact times, therefore, differ from...

is forbidden by the Talmud
Talmud
The Talmud is a central text of mainstream Judaism. It takes the form of a record of rabbinic discussions pertaining to Jewish law, ethics, philosophy, customs and history....

.

World records

Officially titled "Most Pierced Woman", Elaine Davidson
Elaine Davidson
Elaine Davidson is the "Most Pierced Woman" according to the Guinness World Records.When examined by a Guinness World Record official in May 2000, Davidson had 462 piercings, with 192 in her face alone. By August 9, 2001 when she was re-examined she was found to have 720 piercings...

 of Scotland holds the Guinness World Record for most permanent piercings, first setting this record in 2000 upon verification by Guinness judges of 462 body piercings, with 192 at the time being around her head and face. As of 8 June 2006, her Guinness-certified piercings numbered 4,225. In February 2009, The Daily Telegraph
The Daily Telegraph
The Daily Telegraph is a daily morning broadsheet newspaper distributed throughout the United Kingdom and internationally. The newspaper was founded by Arthur B...

reported that she had 6,005. The "Most Pierced Man" as of 2009 was Luis Antonio Agüero, who had 230 permanent piercings, with 175 rings adorning his face alone.

In January 2003, Canadian Brent Moffat set the World Record for most body piercings in one session (700 piercings with 18g surgical needles in 1 session of 7 hours, using play piercing where the skin is pierced and sometimes jewellery is inserted, which is worn temporarily). In December of the same year, Moffat had 900 piercings in 4½ hours. On 4 March 2006, the record was overturned by Kam Ma, who had 1,015 temporary metal rings inserted in 7 hours and 55 minutes. The record for most body piercings with surgical needles was set on 29 May 2008, when Robert Jesus Rubio allowed 900 18-gauge, 0.5 centimetre (0.196850393700787 in)-long surgical needles to be inserted into his body.

Contemporary body piercing jewellery

Body piercing jewellery should be hypoallergenic
Hypoallergenic
Hypoallergenic, meaning "below normal" or "slightly" allergenic, was a term first used in a cosmetics campaign in 1953. It is used to describe items that cause or are claimed to cause fewer allergic reactions...

. A number of materials are used, with varying strengths and weaknesses. Surgical stainless steel
Stainless steel
In metallurgy, stainless steel, also known as inox steel or inox from French "inoxydable", is defined as a steel alloy with a minimum of 10.5 or 11% chromium content by mass....

, niobium
Niobium
Niobium or columbium , is a chemical element with the symbol Nb and atomic number 41. It's a soft, grey, ductile transition metal, which is often found in the pyrochlore mineral, the main commercial source for niobium, and columbite...

 and titanium
Titanium
Titanium is a chemical element with the symbol Ti and atomic number 22. It has a low density and is a strong, lustrous, corrosion-resistant transition metal with a silver color....

 are commonly used metals, with titanium the least likely to cause allergic reaction of the three. Platinum
Platinum
Platinum is a chemical element with the chemical symbol Pt and an atomic number of 78. Its name is derived from the Spanish term platina del Pinto, which is literally translated into "little silver of the Pinto River." It is a dense, malleable, ductile, precious, gray-white transition metal...

 and palladium
Palladium
Palladium is a chemical element with the chemical symbol Pd and an atomic number of 46. It is a rare and lustrous silvery-white metal discovered in 1803 by William Hyde Wollaston. He named it after the asteroid Pallas, which was itself named after the epithet of the Greek goddess Athena, acquired...

 are also safe alternatives, even in fresh piercings. Initial piercings should never be done with gold
Gold
Gold is a chemical element with the symbol Au and an atomic number of 79. Gold is a dense, soft, shiny, malleable and ductile metal. Pure gold has a bright yellow color and luster traditionally considered attractive, which it maintains without oxidizing in air or water. Chemically, gold is a...

 of any grade, as gold is mixed with other metals, and sterling silver
Sterling silver
Sterling silver is an alloy of silver containing 92.5% by mass of silver and 7.5% by mass of other metals, usually copper. The sterling silver standard has a minimum millesimal fineness of 925....

 is not a good alternative in a piercing, as it may cause allergies in initial piercings and will tarnish
Tarnish
Tarnish is a thin layer of corrosion that forms over copper, brass, silver, aluminum, and other similar metals as their outermost layer undergoes a chemical reaction. Tarnish does not always result from the sole effects of oxygen in the air. For example, silver needs hydrogen sulfide to tarnish; it...

 in piercings of any age. An additional risk for allergic reaction may arise when the stud or clasp of jewellery is made from a different metal than the primary piece.

Body piercing jewellery is measured by thickness and diameter/length. Most countries use millimeters. In the USA, the Brown & Sharpe
Brown & Sharpe
Brown & Sharpe is a division of Hexagon Metrology, Inc., a multinational corporation focused mainly on metrological tools and technology. During the 19th and 20th centuries, Brown & Sharpe was one of the most well-known and influential firms in the machine tool industry...

 AWG gauging system is used, which assigns lower numbers to thicker middles. 00 gauge is 9.246 millimetre (0.364015748031496 in), while 20 gauge is 0.813 millimetre (0.032007874015748 in).

Piercing tools

Permanent body piercings are performed by creating an opening in the body using a sharp object through the area to be pierced. This can either be done by puncturing an opening using a needle (usually a hollow medical needle) or scalpel
Scalpel
A scalpel, or lancet, is a small and extremely sharp bladed instrument used for surgery, anatomical dissection, and various arts and crafts . Scalpels may be single-use disposable or re-usable. Re-usable scalpels can have attached, resharpenable blades or, more commonly, non-attached, replaceable...

 or by removing tissue, either with a dermal punch or through scalpelling
Scalpelling
Scalpelling is a body art procedure similar to body piercing for the creation of decorative perforations through the skin and other body tissue, and is most commonly used as a replacement for or enhancement of ear piercing...

.

Tools used in body piercing include:
The piercing needle: The standard method in the United States involves making an opening using a beveled-tip hollow medical needle, which is available in different lengths, gauges and even shapes. While straight needles are useful for many body parts, curved needles are manufactured for areas where straight needles are not ideal. The needle selected is typically the same gauge (or sometimes larger as with cartilage
Cartilage
Cartilage is a flexible connective tissue found in many areas in the bodies of humans and other animals, including the joints between bones, the rib cage, the ear, the nose, the elbow, the knee, the ankle, the bronchial tubes and the intervertebral discs...

 piercings) as the initial jewellery to be worn, with higher gauges indicating thinner needles. The needle is inserted into the body part being pierced, frequently by hand but sometimes with the aid of a needle holder or pusher. While the needle is still in the body, the initial jewellery to be worn in the piercing is pushed through the opening, following the back of the needle. Jewellery is often inserted into the hollow end of a needle, so that as the needle pulls through the jewellery is left behind.
The indwelling cannula: Outside of the United States, many piercers use a needle containing a cannula
Cannula
A cannula or canula is a tube that can be inserted into the body, often for the delivery or removal of fluid or for the gathering of data...

 (or catheter
Catheter
In medicine, a catheter is a tube that can be inserted into a body cavity, duct, or vessel. Catheters thereby allow drainage, administration of fluids or gases, or access by surgical instruments. The process of inserting a catheter is catheterization...

), a hollow plastic tube placed at the end of the needle. In some countries, the piercing needle favoured in the United States is regarded as a medical device and is illegal for body piercers. The procedure is similar to the piercing needle method, but the initial jewellery is inserted into the back of the cannula and the cannula and the jewellery are then pulled through the piercing. More bleeding may follow, as the piercing is larger than the jewellery.
The dermal punch: A dermal punch is used to remove a circular area of tissue, into which jewellery is placed, and may be useful for larger cartilage piercings. They are popular for use in ears, though not legal for use by nonmedical personnel in some parts of the United States.

The piercing gun: Piercing guns, which were originally developed for tagging livestock
Livestock
Livestock refers to one or more domesticated animals raised in an agricultural setting to produce commodities such as food, fiber and labor. The term "livestock" as used in this article does not include poultry or farmed fish; however the inclusion of these, especially poultry, within the meaning...

, are typically used for ear piercing, but may be used for other body parts as well. Piercing guns are generally not favoured by professional body piercers. Guns use relatively blunt, solid studs that punch through tissue; thus they cause more trauma to tissue than proper piercing needles, which are sharp and hollow. They are also considered unsuitable for hygienic reasons. Piercing with a piercing gun causes microsprays of plasma and blood; the guns frequently contain plastic components which are unable to be cleaned in an autoclave
Autoclave
An autoclave is an instrument used to sterilize equipment and supplies by subjecting them to high pressure saturated steam at 121 °C for around 15–20 minutes depending on the size of the load and the contents. It was invented by Charles Chamberland in 1879, although a precursor known as the...

 system, while surface cleansers do not kill all bacteria. Piercing guns are frequently encountered in retail outlets, where those wielding them may be inadequately trained. The Association of Professional Piercers recommends that piercing guns not be used for any piercing, including ears. Nevertheless, the vast majority of women in the west have their ears pierced with a piercing gun.
Cork: Cork may be placed on the opposite side of the body part being pierced to receive the needle.
Forceps: Forceps
Forceps
Forceps or forcipes are a handheld, hinged instrument used for grasping and holding objects. Forceps are used when fingers are too large to grasp small objects or when many objects need to be held at one time while the hands are used to perform a task. The term 'forceps' is used almost exclusively...

, or clamps, may be used to hold and stabilize the tissue to be pierced. Most piercings that are stabilized with forceps use the triangular-headed "Pennington" forcep, while tongues are usually stabilized with an oval-headed forcep. Most forceps have large enough openings in their jaws to permit the needle and jewellery to pass directly through, though some slotted forceps are designed with a removable segment instead for removal after the piercing. Forceps are not used in the freehand method, in which the piercer supports the tissue by hand.
Needle receiving tubes: A hollow tube made of metal, shatter-resistant glass or plastic, needle receiving tubes, like forceps, are used to support the tissue at the piercing site and are common in septum and some cartilage piercings. Not only are these tubes intended to support the tissue, but they also receive the needle once it has passed through the tissue, offering protection from the sharp point. Needle receiving tubes are not used in the freehand piercing method.
Anaesthesia: Anaesthesia
Anesthesia
Anesthesia, or anaesthesia , traditionally meant the condition of having sensation blocked or temporarily taken away...

 is supplied by some piercers, particularly in the United Kingdom and Europe. The anaesthesia may be topical
Topical anesthetic
A topical anesthetic is a local anesthetic that is used to numb the surface of a body part. They can be used to numb any area of the skin as well as the front of the eyeball, the inside of the nose, ear or throat, the anus and the genital area. Topical anesthetics are available in creams,...

 or injected. Piercers and other non-medical personnel are not legally permitted to administer anaesthetics in the United States.

Risks associated with body piercing

Body piercing is an invasive procedure with risks. In a 2005 survey of 10,503 persons over the age of 16 in England, complications were reported in 31% of piercings, with professional help being necessary in 15.2%. 0.9% had complications serious enough to require hospitalization.
Some risks of note include:
  • Allergic reaction to the metal in the piercing jewellery, particularly nickel
    Nickel
    Nickel is a chemical element with the chemical symbol Ni and atomic number 28. It is a silvery-white lustrous metal with a slight golden tinge. Nickel belongs to the transition metals and is hard and ductile...

    . This risk can be minimized by using high quality jewellery manufactured from Titanium or Niobium or similar inert metals.
  • Infection, bacteria
    Bacteria
    Bacteria are a large domain of prokaryotic microorganisms. Typically a few micrometres in length, bacteria have a wide range of shapes, ranging from spheres to rods and spirals...

    l or viral
    Virus
    A virus is a small infectious agent that can replicate only inside the living cells of organisms. Viruses infect all types of organisms, from animals and plants to bacteria and archaea...

    , particularly from Staphylococcus aureus
    Staphylococcus
    Staphylococcus is a genus of Gram-positive bacteria. Under the microscope they appear round , and form in grape-like clusters....

    , group A streptococcus
    Streptococcus
    Streptococcus is a genus of spherical Gram-positive bacteria belonging to the phylum Firmicutes and the lactic acid bacteria group. Cellular division occurs along a single axis in these bacteria, and thus they grow in chains or pairs, hence the name — from Greek στρεπτος streptos, meaning...

     and Pseudomonas spp.
    Pseudomonas
    Pseudomonas is a genus of gammaproteobacteria, belonging to the family Pseudomonadaceae containing 191 validly described species.Recently, 16S rRNA sequence analysis has redefined the taxonomy of many bacterial species. As a result, the genus Pseudomonas includes strains formerly classified in the...

     Reports at the 16th European Congress of Clinical Microbiology and Infectious Diseases in 2006 indicated that bacterial infections are seldom serious, but that between 10–20% of piercings result in local benign bacterial infection. The Mayo Clinic
    Mayo Clinic
    Mayo Clinic is a not-for-profit medical practice and medical research group specializing in treating difficult patients . Patients are referred to Mayo Clinic from across the U.S. and the world, and it is known for innovative and effective treatments. Mayo Clinic is known for being at the top of...

     estimates 30%. Risk of infection is greatest among those with congenital heart disease, who have a much higher chance of developing life-threatening infective endocarditis
    Infective endocarditis
    Infective endocarditis is a form of endocarditis, or inflammation, of the inner tissue of the heart, such as its valves, caused by infectious agents. The agents are usually bacterial, but other organisms can also be responsible....

    , hemophiliacs and diabetics, as well as those taking Corticosteroid
    Corticosteroid
    Corticosteroids are a class of steroid hormones that are produced in the adrenal cortex. Corticosteroids are involved in a wide range of physiologic systems such as stress response, immune response and regulation of inflammation, carbohydrate metabolism, protein catabolism, blood electrolyte...

    s. In 2006, a diabetic woman in Indiana
    Indiana
    Indiana is a US state, admitted to the United States as the 19th on December 11, 1816. It is located in the Midwestern United States and Great Lakes Region. With 6,483,802 residents, the state is ranked 15th in population and 16th in population density. Indiana is ranked 38th in land area and is...

     lost a breast due to an infection from a nipple piercing. Viral infections may include hepatitis B
    Hepatitis
    Hepatitis is a medical condition defined by the inflammation of the liver and characterized by the presence of inflammatory cells in the tissue of the organ. The name is from the Greek hepar , the root being hepat- , meaning liver, and suffix -itis, meaning "inflammation"...

    , hepatitis C
    Hepatitis
    Hepatitis is a medical condition defined by the inflammation of the liver and characterized by the presence of inflammatory cells in the tissue of the organ. The name is from the Greek hepar , the root being hepat- , meaning liver, and suffix -itis, meaning "inflammation"...

     and, potentially, HIV
    HIV
    Human immunodeficiency virus is a lentivirus that causes acquired immunodeficiency syndrome , a condition in humans in which progressive failure of the immune system allows life-threatening opportunistic infections and cancers to thrive...

    , although as of 2009 there had been no documented cases of HIV caused by piercing. While rare, infection due to piercing of the tongue can be fatal. Higher prevalence
    Prevalence
    In epidemiology, the prevalence of a health-related state in a statistical population is defined as the total number of cases of the risk factor in the population at a given time, or the total number of cases in the population, divided by the number of individuals in the population...

     of colonization of Candida albicans
    Candida albicans
    Candida albicans is a diploid fungus that grows both as yeast and filamentous cells and a causal agent of opportunistic oral and genital infections in humans. Systemic fungal infections including those by C...

     was reported in young individuals with tongue piercing
    Tongue piercing
    A tongue piercing is a body piercing usually done directly through the center of the tongue, and is the most popular piercing site in the western world after the ear and nostril.-History and culture:...

    , in comparison to non-tongue-pierced matched individuals.
  • Excess scar tissue, including hypertrophic scar
    Hypertrophic scar
    Hypertrophic scars are a cutaneous condition characterized by deposits of excessive amounts of collagen which gives rise to a raised scar, but not to the degree observed with keloids. Like keloids, they form most often at the sites of pimples, body piercings, cuts and burns. They often contain...

     and keloid
    Keloid
    A keloid is a type of scar, which depending on its maturity, is composed mainly of either type III or type I collagen. It is a result of an overgrowth of granulation tissue at the site of a healed skin injury which is then slowly replaced by collagen type 1...

     formation. While piercings can be removed, they may leave a hole, mark or scar.
  • Physical trauma
    Physical trauma
    Trauma refers to "a body wound or shock produced by sudden physical injury, as from violence or accident." It can also be described as "a physical wound or injury, such as a fracture or blow." Major trauma can result in secondary complications such as circulatory shock, respiratory failure and death...

     including tearing, friction or bumping of the piercing site, which may cause edema
    Edema
    Edema or oedema ; both words from the Greek , oídēma "swelling"), formerly known as dropsy or hydropsy, is an abnormal accumulation of fluid beneath the skin or in one or more cavities of the body that produces swelling...

     and delay healing. The risks can be minimized by wearing properly sized jewellery and not changing it unnecessarily, by not touching the piercing more than required for aftercare, and by being conscious of environmental factors (such as clothing) that may impact the piercing.
  • Oral trauma
    Dental trauma
    Dental trauma refers to trauma to the face, mouth, and especially the teeth lips and periodontium. The study of dental trauma is called dental traumatology.- Types :* Tooth fractures**Enamel infraction**Enamel fracture**Enamel-dentine fracture...

    , including recession of gingiva
    Gingiva
    The gingiva , or gums, consists of the mucosal tissue that lies over the mandible and maxilla inside the mouth.-General description:...

    l tissue and dental fracture and wear. Recession of gingival tissue affects 19% to 68% of subjects with lip and/or intra-oral ornaments. In some cases, the alveolar tooth-bearing bone is also involved, jeopardizing the stability and durability of the teeth in place and requiring a periodontal regeneration surgery. Dental fracture and wear affects 14% to 41% of subjects with lip and/or intra-oral ornaments.


Contemporary body piercing studios generally take numerous precautions to protect the health of the person being pierced and the piercer. Piercers are expected to sanitize the location to be pierced as well as their hands, even though they will often wear gloves during the procedure (and in some areas must, as it is prescribed by law). Quite frequently, these gloves will be changed multiple times, often one pair for each step of setup to avoid cross contamination. For example, after a piercer has cleaned the area to be pierced on a client, the piercer may change gloves to avoid recontaminating the area with the gloves he/she used to clean it. Wearing sterile gloves is required by law for professional piercing procedures in some areas, such as the states of Florida and South Carolina. Tools and jewellery should be sterilized in autoclaves, and non-autoclavable surfaces should be cleaned with disinfectant agents on a regular basis and between clients.

In addition, the Association of Professional Piercers recommends classes in First Aid
First aid
First aid is the provision of initial care for an illness or injury. It is usually performed by non-expert, but trained personnel to a sick or injured person until definitive medical treatment can be accessed. Certain self-limiting illnesses or minor injuries may not require further medical care...

 in blood-borne pathogens
Blood-borne disease
A blood-borne disease is one that can be spread through contamination by blood.The most common examples are HIV, hepatitis B, hepatitis C and viral hemorrhagic fevers....

 as part of professional training.

The healing process and body piercing aftercare

The aftercare process for body piercing has evolved gradually through practice,and many myths and harmful recommendations persist. A reputable piercing studio should provide clients with written and verbal aftercare instructions, as is in some areas mandated by law.

The healing process of piercings is broken down into three stages:
  • The inflammatory phase, during which the wound is open and bleeding, inflammation and tenderness are all to be expected;
  • The growth or proliferative phase, during which the body produces cells and protein to heal the puncture and the edges contract around the piercing, forming a tunnel of scar tissue called a fistula
    Fistula
    In medicine, a fistula is an abnormal connection or passageway between two epithelium-lined organs or vessels that normally do not connect. It is generally a disease condition, but a fistula may be surgically created for therapeutic reasons.-Locations:Fistulas can develop in various parts of the...

    . This phase may last weeks, months, or longer than a year.
  • The maturation or remodeling phase, as the cells lining the piercing strengthen and stabilize. This stage takes months or years to complete.


It is normal for a white or slightly yellow discharge
Exudate
An exudate is any fluid that filters from the circulatory system into lesions or areas of inflammation. It can apply to plants as well as animals. Its composition varies but generally includes water and the dissolved solutes of the main circulatory fluid such as sap or blood...

 to be noticeable on the jewellery, as the Sebaceous gland
Sebaceous gland
The sebaceous glands are microscopic glands in the skin that secrete an oily/waxy matter, called sebum, to lubricate and waterproof the skin and hair of mammals...

s produce an oily substance meant to protect and moisturize the wound. While these sebum deposits may be expected for some time, only a small amount of pus
Pus
Pus is a viscous exudate, typically whitish-yellow, yellow, or yellow-brown, formed at the site of inflammatory during infection. An accumulation of pus in an enclosed tissue space is known as an abscess, whereas a visible collection of pus within or beneath the epidermis is known as a pustule or...

, which is a sign of inflammation or infection, should be expected, and only within the initial phase. While sometimes difficult to distinguish, sebum is "more solid and cheeselike and has a distinctive rotten odor", according to The Piercing Bible.

The amount of time it typically takes a piercing to heal varies widely according to the placement of the piercing. Genital piercings can be among the quicker to heal, with piercings of the clitoral hood
Clitoral hood
In female human anatomy, the clitoral hood, , is a fold of skin that surrounds and protects the clitoral glans. It develops as part of the labia minora and is homologous with the foreskin in male genitals.-Variation:This is a protective hood of skin that covers the clitoral glans...

 and Prince Albert piercings healing in as little as a month, though some may take longer. Navel piercings can be the slowest to heal, with one source reporting a range of six months to two full years. The prolonged healing of navel piercings may be connected to clothing friction.

Related media

  • A chart comparing wire gauges likely to be encountered when making jewellery
  • A chart comparing O-ring sizes (Aerospace Specification series numbering) to American gauge jewellery

External links

The source of this article is wikipedia, the free encyclopedia.  The text of this article is licensed under the GFDL.
 
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