CLEANING SOLUTIONS

• Packaged sterile saline is a gentle choice for piercing aftercare. Mixing your own sea salt solution is no longer a suggested practice from the APP. We strongly encourage you to use a sterile saline labeled for use as a wound wash. Contact lens saline, eye drops, and other saline products should never be used on a body piercing. Your saline ingredients should list .09% sodium chloride as the only ingredient. Mixing your own sea salt solution will commonly result in the product being far too salty and strong, this can over dry the piercing and interfere with healing.

CLEANING INSTRUCTIONS FOR BODY PIERCINGS

• WASH your hands thoroughly prior to cleaning or touching your piercing for any reason.
• SALINE rinse as needed while healing. For certain piercings it may be
  easier to apply using clean gauze saturated with saline solution.
• RINSE site as needed to remove cleaning solution residue. Moving or
  rotating jewelry is not necessary during cleaning or rinsing.
• DRY by gently patting with clean, disposable paper products. Cloth towels can harbor bacteria and snag on jewelry causing injury.

WHAT IS NORMAL?

• Initially: some bleeding, localized swelling, tenderness, or bruising.
• During healing: some discoloration, itching, secretion of a whitish-yellow fluid (not pus) that will form some crust on the jewelry. The tissue may tighten around the jewelry as it heals.
• Once healed: the jewelry may not move freely in the piercing; do not force it. If you fail to include cleaning your piercing as part of your daily hygiene routine, normal but smelly bodily secretions may accumulate.
• A piercing may seem healed before the healing process is complete. This is because tissue heals from the outside in, and although it feels fine, the interior remains fragile. Be patient, and keep cleaning throughout the entire healing period.
• Even healed piercings can shrink or close in minutes after having been there for years! This varies from person to person; if you like your piercing, keep jewelry in—do not leave it empty.

WHAT TO DO

• Wash your hands prior to touching the piercing; leave it alone except when cleaning. During healing it is not necessary to rotate your jewelry
• Exercise during healing is fine; listen to your body. Make sure your bedding is washed and changed regularly. Wear clean, comfortable, breathable clothing that protects your piercing while you are sleeping.
  Showers tend to be safer than taking baths, as bathtubs can harbor bacteria. If you bathe in a tub, clean it well before each use and rinse off your piercing when you get out.

WHAT TO AVOID

• Avoid cleaning with alcohol, hydrogen peroxide, antibacterial soaps, iodine, or any harsh products, as these can damage cells. Also avoid ointments as they prevent necessary air circulation.
• Avoid Bactine®, pierced ear care solutions, and other products containing Benzalkonium Chloride (BZK). These can be irritating and are not intended for long-term wound care.
• Avoid over-cleaning. This can delay your healing and irritate your piercing. • Avoid undue trauma such as friction from clothing, excessive motion of the area, playing with the jewelry, and vigorous cleaning. These activities can cause the formation of unsightly and uncomfortable scar tissue, migration, prolonged healing, and other complications.
• Avoid all oral contact, rough play, and contact with others’ bodily fluids on or near your piercing during healing.
•  Avoid stress and recreational drug use, including excessive caffeine, nicotine, and alcohol.
•  Avoid submerging the piercing in unhygienic bodies of water such as lakes, pools, hot tubs, etc. Or, protect your piercing using a waterproof wound sealant bandage. These are available at most drugstores and work best for nipple, navel, and surface piercing placements.
•  Avoid all beauty and personal care products on or around the piercing including cosmetics, lotions, and sprays, etc.
•  Don’t hang charms or any object from your jewelry until the piercing is fully healed. • Sleeping directly on a healing cartilage piercing can cause irritation, even causing shifts in the piercing’s angle. Placing a travel pillow, on top of your pillow, and then placing your ear in the opening can be helpful to avoid this

JEWELRY

• Unless there is a problem with the size, style, or material of the initial jewelry, leave it in the place for the entire healing period. See a qualified piercer to perform any jewelry change that becomes necessary during healing. See the the member locator to locate an APP member, or to request a copy of our Picking Your Piercer brochure.
•  Contact your piercer for a non-metallic jewelry alternative if your metal jewelry must be temporarily removed (such as for a medical procedure).
•  Leave jewelry in at all times. Even healed piercings that you have had for years can shrink or close in minutes! If removed, reinsertion can be difficult or impossible. See the APP brochure Preparing for Medical and Dental Procedures for more information.
•  With clean hands or paper products, be sure to regularly check threaded and threadless ends on your jewelry for tightness.
•  Should you decide you no longer want the piercing, simply remove the jewelry (or have a professional piercer remove it) and continue cleaning the piercing until the hole closes. In most cases only a small mark should remain.
• In the event an infection is suspected, quality jewelry or an inert alternative may be left in place to allow for drainage of the infection, if approved by your physician. On rare occasion, when the jewelry is removed, the surface cells close up, which can seal the infection inside the piercing channel and result in an abscess. Until an infection is cleared up, discuss with your physician if you should leave in quality jewelry or an appropriate substitute.

FOR PARTICULAR AREAS

NAVEL:

• A hard, vented eye patch (sold at pharmacies) can be applied under tight clothing (such as nylon stockings) or secured using a length of elastic bandage around the body (to avoid irritation from adhesive). This can protect the area from restrictive clothing, excess irritation, and impact during physical activities such as contact sports.

EAR/EAR CARTILAGE AND FACIAL:

• Use the t-shirt trick: Dress your pillow in a large, clean t-shirt and turn it nightly; one clean t-shirt provides four clean surfaces for sleeping.
• Maintain cleanliness of telephones, headphones, eyeglasses, helmets, hats, and anything that contacts the pierced area.
• Use caution when styling your hair and advise your stylist of a new or healing piercing.

NIPPLES:

• The support of a tight cotton shirt or sports bra may provide protection and feel comfortable, especially for sleeping.

SURFACE ANCHORS:

•  These piercings require maintenance during their entire lifetime because matter can build up underneath the threaded top causing the piercing to become irritated. Saline and/or shower rinses may be helpful with removing matter from underneath the threaded top.
•  Avoid putting makeup on these piercings even after healing.
• Even with proper care, surface anchors may be less permanent than other body piercings.

ALTERNATIVE AFTERCARE

•  Aftercare is an evolving conversation in the progression of body piercing. Aftercare needs can differ from one region and climate to another and not all products are widely available, discuss your specific needs with your body piercer. If you choose to use soap on a healing piercing consider using a gentle soap free from harsh chemicals, dyes, and perfumes. The use of an antibacterial soap is not suggested as it may over-dry and irritate your piercing. If your piercer suggests the use of a soap fully rinse away product after use.
•  If sterile saline is not available in your region a sea salt solution mixture can be a viable alternative. Dissolve 1∕8 to 1⁄4 teaspoon (.75 to 1.42 grams) of non-iodized (iodine free), fine grain sea salt into one cup (8 oz. / 250ml) of warm distilled or bottled water. A stronger mixture is not better; salt solution that is too strong can irritate the piercing.