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Permanent body piercings (as opposed to play 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 cutting an opening using a needle (usually a hollow medical needle) or scalpel or by removing tissue, either with a scalpel or a dermal punch.

Contemporary body piercing studios generally take numerous precautions to protect the health of the person being pierced and the piercer. Tools and jewelry are sterilised in autoclaves and non-autoclavable surfaces are cleaned with sterilising agents on a regular basis and between clients. Sterile, single use gloves are worn by the piercer to protect both the piercer and the client. Commonly, a piercer will use multiple pairs of gloves per client, 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, he may change gloves to avoid recontaminating the area with the gloves he used to clean it.

Most professional studios will only pierce with stainless steel or titanium jewelry. Some use one or the other exclusively. Piercers who use titanium exclusively will note that even stainless steel can sometimes contain too much nickel to be safe for some people to wear in a piercing. Jewelry made of pure platinum as well as 14k and 18k gold is not considered safe for piercing, but is often used for decorative jewelry when the piercing has healed. However, many piercers also claim that some alloys of 14k gold contain too much copper, silver or other alloy metals, opting for at least 18k for any jewelry piece.

Decorative jewelry bought at retail stores is often highly discouraged by piercers, as much of it contains components that can be irritating or even toxic. Even some jewelry that is claimed to be titanium is often composed of cheaper metals such as nickel and iron. Silver in any use or form is also highly discouraged due to the threat of argyria and possible carcinogenic effects of various silver compounds.

Much like tattoos, it is often much better to avoid bargains and low prices, and instead opt for reasonably expensive jewelry and procedures.


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