Category Public Education

2022 NEHA Review

Shortly after the APP’s 2022 conference in Las Vegas, APP member John Johnson traveled to Spokane, Washington to represent the association’s Legislative and Regulatory Affairs Committee (LRAC) at the annual education conference hosted by the National Environmental Health Association (NEHA).

APP members Matt Bavougian, Steve Joyner, and John Johnson each have positions on NEHA’s body art committee which created the Body Art Model Code (BAMC). NEHA represents health inspectors around the United States who visit body art studios and enforce local codes. This NEHA conference in Spokane featured four days of body art inspector training and the APP’s John Johnson was there to speak on behalf of body piercing facilities and discuss the most practical and effective methods for their inspection.

The NEHA conference is similar to our APP conference in many ways, lectures and other presentations take place each day with topics related to environmental health, opportunities to network are everywhere, and of course the exposition hall where vendors display their products and services is a main attraction.

Like piercers who attend the APP’s conference, health inspectors and other environmental health officials attend conferences such as NEHA to stay up-to-date with trends, technology, and information relevant to their profession. Today, these environmental health specialists have great interest in body art like professional piercing.

Body piercing is now considered mainstream by many and regulators are very interested in effective health codes and their enforcement. The APP’s LRAC works closely with organizations like NEHA who have a need for body piercing health and safety information. We appreciate everyone at NEHA who supports the APP’s mission of safe piercing.

At the time of this article NEHA is accepting change requests for the Body Art Model Code.

Point 76: Interview with David Vidra – Matte Erickson

Matte Erickson
Body Piercing Archives

In a continuing effort to bring a little insight to some of the interesting people within our history, we bring you our next casual interview with, David “Mama” Vidra. The contributions that David has been responsible for are too numerous to list. A piercer, registered nurse and educator, David has been an integral figure in pushing the piercing industry towards legitimacy in the eyes of Federal and medical agencies. Not only was he an early Board Member, instructor, and liaison between the APP and OSHA, he also created Health Educators (www.hlthedu.com), one of the only industry training programs in the world.

Matte Erickson: How did you get the nickname “Mama”?

David Vidra: Mama came from Kevin Tarbell at Splash of Color in East Lansing, Michigan. It also came from all the years I worked with the handicapped. That started when I was 13. I started High Hopes for the handicapped and in the early ‘80s started an organization that cared for AIDS patients until death. North Coast AIDS Home Care, an agency taking care of the patients, closed in early 1990. I also did theater with the deaf/blind and assisted with a deaf choir.

Matte Erickson: How long have you been around piercing? What is your history?

David Vidra: Since I was 21. I got my first piercing at Body Language in Cleveland, Ohio by Linus Herell. So, 38 years total I have been around piercing and involved. As far as my history, I apprenticed and did piercing all while focusing on other parts of my life. I directed outdoor education program for a CYO Camp in Ohio, worked with mentally and physically challenged people for care as well as directing theater with the deaf/blind and what we call normal people, but the whole time I was piercing, getting pierced and doing all the above.

Matte Erickson: Who most influenced you in your early body piercing career?

David Vidra: Influences outside of local people, which was Linus and John Brittian, came mainly from the Gauntlet’s PFIQ. Fakir’s Body Play magazine also was a great influence in regards to the spiritual aspect of piercing, which was also very important to me.

Matte Erickson: Who have been your role models during your involvement in the piercing industry?

David Vidra: Michaela Grey, Jim Ward, the Gauntlet classes (basic and advanced). During my classes there I met both Al D. and Eric Dakota. These were the first people that really affected me personally and professionally. Also, I got the opportunity to speak with Elayne Angel (this was before her involvement with APP) at a FDA conference in New Orleans, which had both been invited to speak at. I always had great respect for her and was fortunate to have gotten to watch her pierce at her studio. All of these people helped shape my career and so many more I haven’t mentioned as well. Shops like Infinite Piercing, Blake’s shop, Note Nomad, but they were the more extreme of our time and would share information freely.

Matte Erickson: What are a few of your favorite Conference memories?

David Vidra: Favorite memories, there are so many this is very hard to keep short. When conferences began, if there were 200 people there, OMG that was huge! We would debate different things from aftercare, things such as preps; betadine is what almost everyone used at the time, and BZK wipes to remove it (ETOH (alcohol) would deactivate it), salt solutions etc. Memories of good debates and agreeing afterward what directions we wanted to see the industry head.

Being around people who love everything you do, sharing information with each other about why we would do what we do. There were schools of thought, Jim Ward’s, Fakir’s, other owners and those who had minimal to no medical education and could not get it. Being a new nurse at the time, about six years or so, I took what we did in medical, but not to the extent we did in hospital. This included documentation, adapting tools (no locking forceps etc.). It was an exciting time!

Doing the opening session with Derek and Shawn on the classes, who the Board was, was such fun. Teaching with Dr. Jack on anatomy and working with him on legislative issues in early ‘90s. Attending the first APHA convention. Michaela getting us that membership expense both to be there, and to get our membership paid for, not from dues, but from our own incomes. Such a success! Talking to all these people who did not really receive us too well at first, but that was the minority.

My fondest memory was teaching bloodborne and studio documentation. Teaching wound care with Dr. Betsy and teaching anatomy with her and Dr. Jack. Discussions at the splash bar with those people who would say can I talk with you, and spending hours answering questions and trying to help every person no matter how long it took.

There are goofy things, but my fondest of all, was teaching and giving everyone the information they needed (no trade secrets), being accepted by others at times (though some never did). When Bruno (Pat Tidwell) gave me a towel with my initials on it, I had made it into the towel club. It felt great and came with respect from some more extreme people which, God, I wanted to be, but could not. So I could live through them keeping their asses safe, and we could come up with new ways to do what they needed to.

Research, God, back when I was on the Board for five years and a consultant (until three years ago). Research costs money. Not just going on the web. Back then, you paid for medical and nursing journals, and for opinions from government and other big agencies. All that money was raised, or paid for, by my shop so we could prove points from minimum standard to higher standards, where appropriate. Sterilization, oh my God, what we did then to now, but no one bitched about money they spent because it was for the greater good of the community.

One last one is the first legislation in Washington; helping to write it get the proof of what we were asking for and it being passed with a ban on ear piercing guns what a rush.

Matte Erickson: What keeps you busy now that you no longer pierce?

David Vidra: All the work I have done for education, from research to getting different certificates within nursing; such as wound care certificates and certified instructor and facilitator, which both added to what I could give, and getting things certified for health inspectors for their continuing education. Setting the base courses, anything with health and safety. Teaching anatomy and wound care with Dr. Jack and the latest with Dr. Betsy and the organizations. Early on we were members of APHA, and some I just do not remember. Working on the NEHA manual (the first one) and I am glad to hear it will be updated finally. Working with OSHA, CDC ,and NIOSH with different projects, all of which really brought me much joy with the illness affecting me the way it does at times, it makes it a bit hard to continue it all so I limit what I can do.

Matte Erickson: If you could pass on one piece of advice, what would it be?

David Vidra: One piece of advice: keep your relationships strong and make time for them over anything else (work, organizations, etc.) When everyone else is gone, only they will be there. The others will not. Just your closest friends and your partner. The rest move on without you and that has been proven. Most do not know my lover, he never wanted to go there with me, but he was always home when I came home and loved me no matter what. So keep them strong. My only regret is not one at all. I did a lot . I know that I was, and still am, a good piercer and educator and do both when feeling well with pride. No matter what others might say, my name still holds weight.

I miss some of what was, and miss it fondly. Remember, we all get replaced, but no one can be who you were to the clients and students you served.

Matte Erickson:Puppies or kittens?

David Vidra: Both right now. We have a boy; his name is Gus. He thinks he is a dog, but he is not. He is the sweetest when he wants to be, and tries to keep my legs calm. He always knows when things are bad and makes it better. I am looking for a small dog to go with Gus and of course, for me.

We hope you enjoyed this little look into the life of David Vidra. To be honest, I am amazed it is as short as it is. David is a great storyteller. If you ever have the chance, please pull him aside and let him tell you some of the stories in a way only he can tell. And, to David, thank you for putting up with all the correspondence in getting this done. You are a gem. If you would like to see anyone in particular interviewed here, feel free to contact us at archive@safepiercing.org.

point-76-david-vidra-interview

Point 75: An Ethnography of the Stretched Earlobe Piercing as Site – Paul King

PaulKingPaul King
Treasure, Association of Professional Piercers

Acknowledgments
The author would like to express appreciation for the guidance from Matthew Kennedy, Joshua Craze, Laurence Cohen, Arpita Roy, and Justin Underhill. He offers his deepest gratitude to the research participants for their generosity of time and trust.

Abstract
“Sweet Gauges!” is an ethnography of the stretched earlobe piercing as a site of investigation. Often, social scientists attempt to assign “fixed identities.” These are inscribed onto individuals within designated social groups in a way that seeks to support the scientists’ theoretical claims. Research of body modification practices often inductively simplifies an entire range of corporeal processes into an over-generalized in-group signifier. I wish to elucidate a more comprehensive perspective of the individual from a more focused site of the body. What are the ideas that stretched earlobes communicate about one’s identity? How successful are these transmissions within and outside one’s social groups? Most importantly, how do intended communications and their corresponding interpretations change over time? This paper explores the subtleties and the complexities of the changing significations of stretched earlobe piercing for individuals, especially when positioned with self-identified social groups, authority figures, and random strangers. It finds that over time individuals with stretched ears transition through various and sometimes overlapping social roles and social groups. In-depth interviews revealed varied and complex experiences with unique insights into understandings of selfhood, agency, sexuality, ethnicity, and age, many of which are divergent from categorical tropes of “self-mutilation.”

Keywords: body piercing, stretched earlobes, enlarged earlobes, gauged earlobes, gauges, body modification, modern primitives, earlobe piercing, ear piercing, body art.

The Stretched Earlobe Piercing as Site
Since the early 1990s, the phrase ‘body piercing’ has become widely known in Western popular culture. This term encompasses all forms of the mechanical process of perforating the skin’s surface to install jewelry. However, among people living in the United States, the earlobe is a unique piercing site. An examination of the history of pierced earlobes in the U.S. reveals it as a corporeal site embodied with changing ideas about naturalness, privilege, ethnicity, gender, sexuality, and class.

Since the 1990s, there has been a significant increase in the stretching of earlobe piercings. The physiology of an enlarged earlobe piercing resists seasonal fashion trends and behavioral normative shifts. Unlike the immediacy of piercing, sustained stretching cannot be impulsive. Stretching requires an enduring commitment of time, care, and often finances. Usually this process takes years to reach the exceptionally large sizes, those that allow for gazing through the earlobe.1 With the larger stretched earlobes, to change one’s mind and reverse the process requires expensive surgery.

Often, social scientists attempt to assign “fixed identities.” These are inscribed onto individuals within designated social groups in a way that seeks to support the scientists’ theoretical claims. With few exceptions, social science research inductively simplifies an entire range of corporeal processes into an over-generalized, in-group signifier. However, from a diachronic perspective, individuals with stretched ears transition through various and sometimes overlapping social roles and social groups.

I interviewed 16 people for this paper. In total, I collected approximately 60 pages of transcript, which spanned 30 hours of conversation. I talked to friends, colleagues, and strangers. This sample includes diverse ethnicities from a spectrum of young and old, males, females, and one self-identified sexually indeterminate individual.

From a more focused site of the body, I wish to elucidate a more comprehensive perspective of the individual by asking several questions: What are the ideas that stretched earlobes communicate about one’s identity? How successful are these transmissions within and outside one’s social groups? Most importantly, how do intended communications and their corresponding interpretations change over time? This paper explores the subtleties and complexities of the changing significations of the stretched earlobe piercing for individuals when positioned with self-identified social groups, authority figures, and random strangers.

Stretched Earlobe Piercings and cartilage piercingsThe American Pierced Earlobe
This research emphasizes the variable of time
. Symbolic meanings shift with time. To gain an understanding of the significance of the stretched earlobe piercing as a symbol for an individual, for an intended audience, and for an unintended audience, the symbol and the individual must be considered together within the historical context of relevant social norms of ear piercing, status, gender, and sexuality.

Today, for a vast majority of Americans, females with pierced ears are acceptable. Data vary widely; however, somewhere up to 80% of adult American females have had their ears pierced (Laumann et al., 2006). Since 1974, Inverness’ piercing stud guns have pierced 400 million earlobes (“Customer Service FAQs,” 2012). Inverness is just one of several major piercing gun manufacturers. Their statistics provide a sense of the prevalence of earlobe piercing today.

However, the “normal” pierced earlobe has been subject to cycles of fluctuating acceptance. The most significant shift of social norms for pierced ears in the last 100 years began a few days prior to June 2, 1953. Queen Elizabeth II had her ears pierced to wear the heirloom regalia during her coronation. This highly publicized affair was seminal in changing public opinion (Wruck, 1980, p. 193). In 1957, Life magazine ran an article on the new fad of ear piercing that had spread to America from the United Kingdom. Prior to this, females with earlobe piercings were negatively viewed through the prevailing dominant social norms as low class, sexually promiscuous, non-white, and foreign (Wruck, p. 84–90). However, by the 1960s, mainstream magazines such as Time, ABCs of Beauty, Ladies’ Circle, Cosmopolitan, and Glamour enthusiastically encouraged women and girls to pierce their earlobes (Wruck, p. 192).

Stretched Lobe PiercingsFor Becky and Morgan, pierced ears signaled to the world that they were females. Neither of these two women knows each other, although both share a strikingly similar childhood story. At the age of nine (for Becky in 1994, and for Morgan in 1983), they experienced responses of gender confusion from strangers. They had received short haircuts, preferred to wear pants, and had not yet developed the secondary sexual characteristics of puberty. Morgan’s gender-ambiguous first name added to strangers’ confusion. Both of their mothers decided having the young girls’ ears pierced would clarify for all that their children were not little boys. For Morgan, the piercing was a sweet victory. Morgan had wanted to get her ears pierced previously, but her mom had forbidden it until she was in high school. For Morgan’s family, the social pressure to have their child accurately and clearly signal gender normalcy took priority over their values and ideas of age appropriateness for this feminine, sensuous display. For Becky, the experience was somewhat traumatic: “I screamed and cried; the experience was awful… I didn’t want to do it and was pushed into it.”

For males, historical trends of acceptability and meaning have been markedly different. Dr. Samuel Steward(1990), author and professor-turned-tattooist, reports of only thugs and sailors with pierced ears, as well the subsection of homosexual men who fetishized and emulated these hyper-masculine males. Following the 1953 release of The Wild One, starring Marlon Brando, Steward marks a noticeable increase in homosexual men requesting tattoos while wearing biker leather and a single earring (p. 92). During the 1960s, the incidence of males with pierced earlobes increased in marginalized groups such as homosexuals and bikers. However, in actual numbers, male earlobe piercing remained rare.

The initial challenges to the popular culture and the dominant social structures which defined the 1960s, strengthened and spread in the 1970s. The mainstream media started to take notice of males with pierced earlobes in the Gay liberation and Punk Rock movements. During the 1960s, East Coast Gays and West Coast Gays had opposite in-group signifiers for dominant and passive roles within sexual relations. Accessories such as bandanas, keys, and earrings worn on the left or right could mean a “top” or a “bottom” sexual role preference depending on locality. By the mid-1970s, most American Gay males agreed that a right ear piercing signified you were publicly “out.” Some in the straight world started to say: “Left is right, right is wrong.” By the early 1980s, males started to pierce both earlobes. This remained risky. A single lobe piercing on the “wrong” side, might be interpreted as “Gay,” but having both ears pierced violated widely entrenched gendered visual cues. With the growing occurrence among high profile music and sport celebrities in the late 1980s and through the 1990s, a more general acceptance gradually built for both or either male lobes being pierced. Jody tells of his experience:

It was my 15th birthday; I had my left ear pierced, in the mall at Spenser’s gifts, with a gun. It was a gold stud in my left ear. This was the mid to late 80s [1988]. At that time, it was very important that I got my ear pierced because it was what my peers were doing, but it wasn’t peer pressure. It was a popular mythology that if you got your left ear pierced you’d not be seen as a homosexual. My dad had his left ear pierced. My desire to have it done was more a reflection of the male kids I was hanging with and male celebrities like George Michael and Prince. I had both ears pierced by like 3 years later; it was the early 90s. The right ear was definitely after I moved out of the house, after turning 18. It was a statement for me, part of my coming out process, and certainly from that it was how I expressed my sexuality, because I knew I’d be identified as gay.

Jody’s story implies a more personal definition of peer pressure, which probably is similar to coercion. However, social norms and role models clearly influence his choices.

When the earlobe piercing is contextualized with personal experiences and historical writings, broader understandings begin to take shape. The sociologist Victoria Pitts (2003) has recognized that “instead of one truth of the body or of ontology, there are competing truths that are productions of time, place, space, geography, and culture” (p. 28).

Stretched Earlobe Piercing with stone geode jewelryExpanding Holes
Stretching is the most common method for the enlargement of the healed channel of scar tissue or fistula known as a “piercing.” Stretching is a gradual process. Depending on the method, the tissue’s condition, and the individual’s preference, stretching up one size in the established category can take seconds or days.2 Allowing for the ear piercing to heal and produce more skin cells generally takes several months. It can take many months, or even years, to get to a size that registers with an onlooker’s gaze as outside of the ordinary.3 Drawing from Roy Baumeister’s and P.L. Callero’s earlier works, the sociologist Lisiunia Romanienko (2011) distinguishes piercings that are exposed and readily available to the public gaze, such as the enlarged earlobe, as a “public self-symbolizer.” The individual with a public self-symbolizing piercing asserts self-autonomy of his or her body while simultaneously opening oneself to unpredictable visual, verbal, and sometimes physical responses of approval or disapproval from others. In contrast, piercings as “private symbols” are covered by clothing, which allows the pierced individual some control in selecting who may know of and when another may gaze at the piercing (Romanienko, 2011, p. 5). My interview with Brian illustrates the dichotomy of private versus public self-symbolizers:

I pierced my lobes when I was 17 [1991], but they were not my first piercings…I’d seen magazines of tribal/traditional peoples. I was pushing my limits and piercing my genitals and nipples just to have the intense experience. In an area like Atlanta, [with] the moral majority, the Southern Bible belt, there is going to be people rebelling against that. I didn’t do my lobes first because I lived in a town where I got shit for long hair already. I ended up getting more shit for having my hair long than pierced ears. I pierced my ears after I felt I had already undergone some rites of passage. Before I pierced my ears, I wasn’t ready to talk about it publicly. Piercing was attractive in a sensual, not necessarily sexual way, and [in] a self-reliance [way], in terms of what you need in your character to be able to step off that bridge, to stand in front of people and say this is who I am…

Even as a teenager, Brian’s experience reveals a complex series of “who I am” explorations. Both private and public self-symbolizers work as part of a continuous process for testing ideas of the self and the self’s place in society.

Brian studied magazines for alternatives to non-Western styles and significations of body adornment. Prior to the 1970s, public self- symbolizing piercings that were unconventional in size, in gender, or in quantity, were extremely rare. The “self-made freak” Rasmus Neilson, a circus sideshow performer, is one of the only known examples in American history. From the 1930s through the 1950s, Rasmus toured extensively with Ringling Brothers, Barnum and Bailey circuses, and Ripley’s Believe It or Not. His act included swinging 10-pound hammers from the rings through his distended earlobes. His act was seen by tens of thousands of people and influenced some of the earliest pioneers of the modern body piercing movement. In 1977, the periodical Piercing Fans International Quarterly (PFIQ) disseminated images of stretched earlobes to a broader, receptive audience. In one of the earliest issues, Fakir Musafar coined the phrase “Modern Primitive.” Vale’s and Juno’s book RE/Search Modern Primitives (1989) coalesced a loose network of individuals exploring identity, spirituality, art, and sexuality through their bodies, into a bona fide movement. Musafar and other Modern Primitives describe their practices as reverent of other cultures and as an integrative narrative for a self-determined aesthetic beauty and spirituality through engagement with and manipulation of the body. For many, Modern Primitivism is seen as an alternative to dominant norms of sacred naturalness and/or the intrinsic sinfulness of the body. Pitt (2003) notes some academics criticize Modern Primitives as privileged white Westerners, exoticizing and even symbolically colonizing the third world. Pitt and others contend: “Rather than establishing believable ‘tribal’ identities and communities, the gestures of modern primitivism call into question the fixity of identity as such” (p. 133).

Late 1993 marks the rise of the significantly enlarged earlobe piercing among non-indigenous peoples of the United States. It transitioned from an individual’s action, as practiced by less than a dozen people, to a collective behavior, as practiced by thousands.4 Blake Perlingieri (2003) and Kristian White teamed together to open Nomad’s in San Francisco. Nomad’s was the first shop to specialize in enlarging earlobe piercings. They fostered relationships with local artisans to produce large earrings for a fledgling market. They displayed beautiful antique ‘tribal’ earrings and decorated the shop in traditional designs of Borneo. The idyllic ambiance was completed with exotic birds, plants, and reptiles. The Modern Primitive aesthetic wasn’t a contrived marketing ploy but rather a genuine pursuit of passionate ideals. Kristian and Blake pioneered the practice of scalpeling the earlobe.5 Innovations in the enlargement process and the jewelry selection resulted in dramatic increases in the population of enlarged earlobe piercings in San Francisco (pp. 59-76).

The high visibility of stretched earlobes attracted the media and subsequently the local phenomenon went global. Back in the early 1980s, Genesis Breyer P-Orridge, performance artist, musician, and self- described “cultural engineer,” was the first celebrity to have stretched his earlobe piercing. Most Americans have been exposed to enlarged earlobe piercings by celebrities such as Travie McCoy, Davey Havoc, Lil Wayne, Brandon Boyd, Adam Lambert, and Chester Bennington, films such as Apocalypto, and chain stores such as Hot Topic, which sells stretched earlobe jewelry and supplies to the youth masses. In March of 2013, a YouTube search yielded over 1200 instructional videos of “How to Stretch Your Ear Piercing.” As in the beginning, the professional body piercer displaying the latest developments in jewelry styles and demonstrating the anatomical possibilities of sizes is still the best advertisement for stretched ears. Jody from San Francisco shares: “I started stretching in 2003-2004. It mirrors like when I got my ears pierced when I was 15; it was something I saw happening, something I thought was attractive, and something I wanted to be a part of.”

Locating Symbol
Some ideas of self can be expressed quite clearly in non-verbal symbolism. Abigail exemplifies such a readily apparent communication, “The bicycles engraved on my earplugs represent [that] I agree with the green movement, sustainability, and it’s my main mode of transport.” In 2012, most of her San Franciscan co-habitants could probably deduce this message. In contrast, Becky’s expressions and reflections of identity are more complex to decipher:

There was a lot of soul searching on the journey of stretching my ears, “Who am I? Do I want to go past the point of no return?” I didn’t want to cut myself off from other options; but stretching my ears, the commitment helped to solidify and support my resolve. Over the years I was stretching, I would ask myself, “Who am I, What am I? What do I want to do with my life?” Looking in the mirror, after 5/8 inch, I saw myself as a person with stretched ears and I’m continuing as a person with stretched ears… my overall journey will end at the person I really am.

Examination of Becky’s statements reveals an alignment with Wicklund and Gollwitzer’s (1982) symbolic self-completion theory. Romanienko’s (2011) asserts that in symbolic self-completion theory, “individuals strive emphatically toward their identity goals, which often requires the use of symbols to most comprehensively construct the intended self one aspires to present” (pg. 3). The importance and complexity of how Becky situates herself in society and of how she is situated by society shapes her symbolic image production. Currently, Becky’s earlobe sizes are holding at 11/16″.

Weston situates his stretched earlobes within his identity as an indigenous ethnic minority even though the relative size of his lobe piercings puts him outside the current practices of his group:

Stretched lobes with Diablo Organic plugsI was born into Caddo, so it’s just how it is. It’s not a chosen community. I’m just tattooed and pierced; I didn’t stretch my ears to be part of a group. I’m not “Mod Prim” [Modern Primitive] or “Bod Mod” [Body Modification community]. I don’t want to be associated with that. Stretching was the impetus for my aunts to tell me the stories of the Caddo’s body art history. The Osage people had a sign language and for the Caddo they would have the bent index finger horizontally move back and forth in front of the septum, symbolizing the Caddo’s pierced septum and thus a sign for the entire tribe. At the annual powwow, the elders would say, “Hey, you look like an old timer.” I started stretching because I liked the look of the jewelry. And today it’s the same. The bigger jewelry is more decorative and detailed with better designs. The meaning of my stretched ears hasn’t evolved into anything, just like any other ear piercings, maybe that’s because I’ve had my ears pierced my whole life.

Weston adeptly reconciles his identification with the past traditions of his people while enjoying the current aesthetics of non-traditional sizes and jewelry designs. Weston goes on to share a proud memory of his father’s protection of the family’s traditional practices against an institutional authority:

When I was in school, they tried to make me take them out. My dad went to school, wearing his turquoise studs and won! He told them it was our peoples’ way. Then we, me and my brother, were cool.”

From a very young age, a female named “Danny,” realized that earlobe piercing was an act of asserting herself and demonstrating agency:

I remember the first pierced earlobes I saw on one of my mom’s biker friends. I was about 6 years old. I probably saw them earlier, but this was the age when I realized they did that to themselves. They WANTED it, and I like it and I want it too. I’ve been a fatty since birth, and had issues early on, “you mean you can control what you look like? You can have a say in it?”

Danny’s awareness of her weight difference at such a young age reveals the social mechanisms at work by which the individual internalizes social pressures to conform to norms of beauty and self-worth. For Danny, earlobe piercing and the subsequent stretching may demonstrate adaptive behaviors of psychological healing and self-esteem building.

By 15 years old, Christian’s earlobe piercings were stretched to ½”. He discusses his exuberant process of exploring meditative traditions and the interconnectivity of the mind-body relationship:

I developed an interest in the Tibetan culture, emotionally and religiously. I honestly think then is when everything became more sentimental and serious. I was a freakin’ hippie. I was practicing and learning about different religions; spirituality became a huge influence. At 17, it became an obsession overall to see what the human body could willingly withstand, you know, how the Tibetan monks would go out into the snow and embracing physical challenges during meditation. To make a long story short, I just stretched the hell out of them.

Engaging Others
Whether self-reported or academically studied, interpretations of what is being communicated can be highly subjective. For this paper, I am most concerned with self-reported evaluations of the individual’s public self-symbolizing when considered with intended as well as unintended observers. According to the ideas of Pitts (2003) what is at stake for those who stretch their ears resides in Alberto Melucci’s concept of the “power of naming” (1996). In her book Mutilating the Body, the academic Kim Hewitt defends her choice of naming all forms of body piercing as “self-mutilation” in order to situate, compare, and contrast this practice with eating disorders and Non-Suicidal Self Injuries (NSSI), such as cutting and head-banging. (She does not name acts such as weightlifting, dieting, or teeth straightening as “self-mutilation.”) In contrast, the psychiatrist Armando Favazza (2011) reserves the label of “self mutilation” for “self-injury involving a major, significant body part such as enucleation of an eye or limb amputation” (p. 71). Naming matters; the opinions of the general public and of the policy makers are influenced through taxonomic associations particularly when asserted by persons in positions of authority and expertise. When we resist the urge to reduce complex behaviors and associations into discreet categories, we avoid the construction of artificially fixed identities and, in this case, pathologized behaviors.

Thaoe’s family history shares the ongoing tensions between in- group beliefs and the normative social policies set by dominant institutions:

My grandfather had approximately 00ga earlobes. Traditionally, stretched ears are a sign of age, status, and wisdom. His father [Thaoe’s paternal great grandfather] took out his own earrings when he worked for the US government, and then put them back in. My uncle took them out when he was the tribal sheriff, then put them back in afterwards. Two other uncles had stretched lobes. My great uncle went to a US government boarding school and couldn’t speak the native language and didn’t have stretched earlobes. My other great uncle, the other one’s brother, went to boarding school too, but had an illness, and went deaf. My deaf uncle got pierced after boarding school and engaged in other rituals. The family believes this was because since he was deaf he couldn’t hear the school’s teachings.

Thaoe receives positive and negative responses from unintended observers. He shares a memorable interaction that asserts his ideas of class, ethnicity, sovereignty, and authenticity:

“I was with a friend on the subway and a yuppie lady said, ‘Oh I’ve been to Africa where people actually do that.’ I told her, ‘You’re standing on my ancestors’ land and WE did this too.’”

As a single young adult living in San Francisco, Thaoe’s intersecting communities are complex. He has a Spanish last name and self- identities as a tattooist, artist, and musician. Those who don’t know his story may never consider the richness and uniqueness of his belief associations with his stretched earlobes. Thaoe recognizes that living and working in the city affords him greater access to jewelry choice. The old people still living on the reservation will react in awe, “…because they don’t have shit.”

Becky’s story discusses the complexity of family members’, intended observers’, and unintended observers’ reactions that correlate to the continuum of size:

I remember ALWAYS getting compliments until I hit 5/8″, comments like, “I really like your size, it’s not too big.” My mom was SO funny, “Oh that’s perfect! That’s the perfect size, you don’t need to go ANY bigger!” [Laughter] Now today, “Are your ears BIGGER?” or “Why are you going bigger?” Dad never was a fan, but they’re supportive of me, of course they wish I’d been a doctor. [Laughter] Up until 5/8″, I’d get compliments from the general public, from everyone, but past that, only from people in the industry, or compliments just about the jewelry or the dedication [to stretching], but not as often and not about how beautiful my ears were.

Becky’s experience reflects a distinct size at which she noticed a change in observers’ reactions. However, descriptions such as “large,” “small,” “noticeable,” or “too big,” are all relative to an observer’s exposure and knowledge of stretched ears, aesthetic preference, and relationship to the individual with stretched earlobes.

After stretching too fast, Christian offers a cautionary tale of physical and emotional harm:

I had some complications… People were doing lobe repairs, but it just wasn’t an option. I went to two different surgeons; a Fort Collins’ doctor said, “No” to fixing them, so I flew back home to LA, and that surgeon also said, “No.” My career goal at the time was to become a medical doctor and at the time I felt a little bit pressured, by my career goal, the doctors, and my family to remove them [his 2″ stretched earlobes]. I know medical doctors that are fully sleeved [tattooed] and could be in the O.R., but I, with my ears stretched, couldn’t be? It’s almost like social conformity has a dress code. I was told by numerous surgeons that I couldn’t have stretched earlobes in the O.R. I distinctly remember a plastic surgeon had a half hour consultation with me about it; he was even from Africa! I think Kenya? He was calm and even-toned but very offensive. At 23, I had my ears reconstructed by a plastic surgeon in Pasadena. I cried in the car after the operation. A piece of me was gone, that’s how it felt. It’s weird how you mourn over that [he pulls his reconstructed ear] but I paid someone to cut off a piece of that [he points to his adominoplasty]…. Everyone was very shocked after the operation, some even mentioned they liked the old me, even to this day. Most of my interactions are with people without stretched ears.

There is little doubt that the surgeons were doing what they thought was best for Christian. Christian’s medical condition may be incomprehensible to these surgeons who exclusively construct normative ideals of Western beauty. Therefore his desires to keep his stretched earlobes were dismissed with encumbered medical categorizations such as “self-inflicted, cosmetic, and elective.”

Christian’s case appears indicative of a more general problem, in which doctors confuse their morality for beneficence and override a patient’s autonomy. As more people stretch their earlobes, more people will seek earlobe reconstructions resulting from physical problems such as structural tears, infections, and scars or personal choices such as social pressures, career decisions, and aesthetic preferences. The topic of earlobe reconstruction entails difficult questions of economics, access, and ethics. Professional body modifiers offer an affordable option for people who don’t have health care or money, or have health care but want a procedure that’s not covered because it is medically defined as “elective surgery.” Body modifiers charge approximately $400 while surgeons can charge $4000 and up. The procedure supplements the income for body modifiers who are generally at the lower end of middle-class earnings.

So far my research suggests that procedural outcomes are usually better when performed by the body modifiers than by plastic surgeons. These better outcomes correlate with elite body modifiers that are highly networked, specialized, and experienced with this particular procedure.

But what about the ethics of performing what could be considered “plastic surgery” outside the legally sanctioned medical field? What of the ethical consequences of my investigating this activity? Bringing an apparently adaptive system of underground services under scrutiny could have far-reaching repercussions for practitioners trying to make a living, for clients trying to access affordable alternatives, and for my professional and personal relationships.

 Stretched Lobe Piercing - AnatometalConsidering Change
To form more durable understandings of human behaviors, this research must consider the effects of time. Humans change. The impulse and the act of piercing the earlobe can transpire in moments. In fact, most people can leave the jewelry out for months or even years at a time and the hole will remain open, without consideration or action. But the physiology of the stretched earlobe is different. The moment jewelry is removed, the process of shrinking starts. For many, this appears glacially slow, taking days or weeks to “lose a stretch” and to have to go down in size. But for others this process starts to happen in hours or even in minutes. Over time, innumerable variables shift: finances, style preferences, jobs, relationships, responsibilities, hobbies, and social groups, so what choices factor in keeping stretched earlobes? Melody’s long relationship with her stretched earlobes traces such life changes and her corresponding choices to stretch or not:

[In 1990] When I got to 4 gauge, I stopped because I didn’t think I could go any bigger and have it look right…. At that time, people were JUST starting to do crazy body modifications; some looked awesome while others seemed ugly and deforming. As a piercer, I was really aware that some people were modifying their bodies for aesthetics and others were modifying without that regard. I was 4 gauge for years and years. I stopped being a piercer and got another career entirely. Going into a more professional, straight job, I wanted to maintain my individuality in a way. It’s funny, at work, I see myself edgy as compared with my colleagues and clients. And they see me as edgy, because of my ears… even though I tone it down. Even though at the same time from 1990 to 2012, body modification has become commonplace, and now I’m TOTALLY tame compared to some people. I get questions like… “Didn’t that hurt?” It hasn’t gone away, it’s such a funny question. I understand the question isn’t really “does that hurt,” but rather, “even though it does hurt, why did you subject yourself to that pain? Help me to understand.” In addition to maintaining my individual style and it being an aesthetic decision, as I’ve gotten older, I feel I’ve been pigeonholed and disregarded. As a woman who is almost 50, I’ve disappeared in some ways. So the stretched ears, in some way, counter balance that, if not for anybody else, then for me. I’ve had a LOT of body modification over the years, and then undone a lot over the next years, and this bout or period of changing things on my body has been very much about grounding and solidifying my own identity… my ears seem to be a way, to make a statement about who I am while at the same time balancing the confines of how I need to look as a professional, to be taken seriously and treated respectfully.

My lifestyle has been punk rock, radical lesbian, SM, Mod Prim, radically political and Queer; it’s been a LOT of different things that [were] far, FAR outside the norm and to a great extent I don’t practice that anymore but it’s still a part of me an integral part of that.

It’s almost as if age trumps everything else.

For Thaoe, the custom of stretched earlobes sustains his connection to his grandfather, to his identity as Native American and to his reservation. His traditions teach him the importance of an evolving relationship one should have with enlarged earlobe piercings:

Stretching is a time thing; when plugs fall out you go up. I’m guessing I was 8 gauge by junior high. The stretching is not forced; it happens with time. It’s natural. There is no stopping stretching until you die, unless they stay at a certain size. You should never push it; they’re the size they’re supposed to be. If there is a problem, then maybe you need to go down in size, think about what’s going on in your life, and reflect on your mental state. It’s time to slow down, time to think and reflect.

Stretched Lobes - Piercings by AJConcluding Thoughts
This ethnography of people’s self-reported stories unfolds diverse experiences, ethnicities, communities, and motivations, all of which inform and evolve the choices to stretch and to have enlarged earlobe piercings. As a research tool, ethnography allows for depth, dimension, variation, and personalization within a research cohort that shares commonalities, such as persons with stretched earlobe piercings.

From the stretched earlobe as a locus of study, interviewees revealed varied and complex experiences. These unique insights diverge from categorical generalizations that attempt to aggregate all body modification outside the current social norm as “self-mutilation”. For example, Weston and Thaoe shared their evolving indigenous understandings of stretched earlobe traditions. For Abigail and Jody, the stretched earlobe signified a classic sociological understanding of ingroup affiliation. Jody, Becky, and Morgan each presented the pierced and stretched earlobe as a demonstration of selfhood; however, each original ear piercing was initiated by external pressures of gender inscription. Brian reflected back on a younger self with sophisticated understandings of his personal explorations of earlobe modification within his particular social landscape of place and time. Danny’s earlobe piercing and the subsequent stretching appeared to be a successful ongoing reinforcement of psychological healing and self-esteem building. Christian revealed his emotional pain from being pressured into an unwanted surgical removal of stretched earlobe tissue presented as imperative to conform to a prevalent moral bias within the medical field. Melody eloquently examined her shifting relationship to her stretched earlobes, transformed by her growing age and increasing socioeconomic status.

Seeking out alternative narratives to a chosen hypothesis may be a more holistic approach to studying difficult social systems and psychological behaviors. Including the richness of diversity may give balance to otherwise reductive and essentialized research conclusions.

References

Burton, B.W. (2001). Culture and the Human Body: An Anthropological Perspective. Long Grove: Waveland Press, Inc.
Customer Service FAQs. Inverness Safe Ear Piercing. Retrieved from: https://www.invernesscorp.com/customerService/index.asp#how_ many. Accessed: 09/29/2012.
Favazza, A. (2011). Bodies Under Siege: Self-Mutilation, Nonsuicidal Self- Injury, and Body Modification in Culture and Psychiatry (3rd ed.). Baltimore: John Hopkins University Press.
Halliburton, M. (2002). Rethinking Anthropological Studies of the Body: Manas and Bōdham in Kerala. American Anthropologist, New Series, 104(4), pp. 1123-1134. Retrieved from https://www.jstor.org/stable/3567101. Accessed: 08/09/2012 11:53
Hayes, M.O., & Harness, G.A. (2001). Body Piercing as a Risk Factor for Viral Hepatitis: An Integrative Research Review. American Journal of Infection Control. University of New Hampshire, School of Health and Human Services.doi: 10.1067/ mic.2001.114402
Hewitt, K. (1997). Mutilating the Body: Identity in Blood and Ink. Bowling Green: Bowling Green State University Popular Press. Inverness Corporation. (n.d.)
Lemma, A. (2010). Under the Skin: A Psychoanalytic Study of Body Modification. New York: Routledge.
Melucci, A. (1996). Challenging Codes: Collective Action in the Information Age. New York: Cambridge University Press.
Moglen, H. & Chen, N. (2006). Bodies—Inside and Out. In N.N. Chen, & H. Moglen (eds.), Bodies in the Making: Transgressions and Transformations (pp. ix-xvi). Santa Cruz: New Pacific Press.
Perlingieri, B.A. (2003). A Brief History of the Evolution of Body Adornment in Western Culture: Ancient Origins and Today. Eugene: Tribalife Publications.
Pitts, V. (2003). In the Flesh: The Cultural Politics of Body Modification. New York: Palgrave Macmillan.
Pitts, V. (2006).The Body, Beauty, and Psychosocial Power. In N.N. Chen, & H. Moglen (eds.), Bodies in the Making: Transgressions and Transformations (pp. 28-46). Santa Cruz: New Pacific Press.
Romanienko, L. A. (2011). Body Piercing and Identity Construction: A Comparative Perspective – New York, New Orleans, Wroclaw. New York: Palgrave Macmillan.
Ruben, A. (1988). Marks of Civilization. Los Angeles: Museum of Cultural History, University of California, Los Angeles.
Shilling, C. (2003). The Body and Social Theory, (2nd ed.). London: SAGE.
Steiner, C.B. (1990). Body Personal and Body Politic. Adornment and Leadership in Cross Cultural Perspective. Anthropos, Bd. 85, H. 4/6, pp. 431-445. Retrieved from https://www.jstor.org/stable/40463569. Accessed: 08/09/2012 11:44
Steward, S. M. (1990). Bad Boys and Tough Tattoos: A Social History of the Tattoo with Gangs, Sailors, and Street-Corner Punks, 1950-1965.New York: Harrington Park Press.
Thomas, H. & Ahmed, J. (eds.) (2008). Cultural Bodies: Ethnography and Theory. Blackwell Publishing Ltd, Oxford, UK.
Vale, V. & Juno, A. (1989). RE/Search #12: Modern Primitives. San Francisco: RE/Search Publications.
Wicklund, R. A., & Gollwizter, P. M. (1982). Symbolic Self-completion. Hillsdale, NJ: Erlbaum.
Wruck, C. (1980). Jewels for Their Ears: Why Earrings Are as Popular Today as They Were Ten Thousand Years Ago. New York: Vantage Press, Inc.

Article reprinted with the author’s permission from https://media.wix.com/ugd/1a898c_e2c18ac54e744150be8a3c71b20332f9.pdf

Point 75: The Mentor Program – Cale Belford

Cale Belford headshot

Cale Belford
The Mentor Team

What is the mentor program? It is a fantastic outreach system started by Ryan Ouellette in 2009. His dream was to essentially build small conference families that could work together as a group and lean on each other for support. We have seen incredible progress and have had wonderful feedback when it comes to the program. We look forward to continuing this process for years to come.

Our mentors are well-rounded, experienced conference goers who want to ensure that the new attendees at Conference have an outstanding time. The mentor team acts to pair mentors and mentees based on similar interests, areas of knowledge, and class schedule needs. We use information built from a survey sent out during registration. These small groups consisting of a mentor and three to four mentees will help to assist and encourage each other and provide a positive and enriching Conference experience. Mentors are available to support mentees; providing reassurance if they feel overwhelmed, giving assistance with class and event schedules, or to simply give advice on where to find the tastiest tacos or a delicious vegan donut. Don’t be afraid to take full advantage of this opportunity!

Do you plan on attending Conference for the first time? Do you have questions that you would like to have answered, need help selecting your classes, or would you simply like to have a friend before arriving in Vegas? The APP Mentor Program is here to help!

If you are a first or second year attendee and would like assistance from a mentor chosen specifically for you, please email mentor@safepiercing.org with MENTEE in the subject line. Be sure to include your name, telephone number, and other contact information in the email. There is technically no deadline for signup, but the earlier you enroll the more you will get out of the program! We are thrilled that you have decided to come to Conference this year and we are all waiting to meet you.

We genuinely want each and every one of our new attendees to get the most out of their conference experience and hope that the mentor program helps to make this possible. If you have any questions about the mentor program, becoming a mentor, or being a mentee at Conference, please do not hesitate to contact anyone on the Mentor Team. This year’s Mentor Team includes Ash Misako, Billy Wood, Chris Theis, and Cale Belford. They as well as all of our mentors can be easily identified at Conference by their Mentor Ribbons.

Part of being a mentor means that we want to ensure you are prepared and set up for success before arriving in Vegas. It’s natural to get caught up in the excitement of going to Vegas making it easy to forget even the most basic necessities. Las Vegas is a lot like the Bermuda Triangle, with all the activity and controlled chaos, it can be easy to lose track of things. So basically, if it will break your heart to lose it, leave it at home!

However, if there are a few small creature comforts from home you need to make your day a little easier or brighter, especially things you don’t feel comfortable borrowing or may be difficult to find, then bring it. The hotel will provide you with towels, soap, shampoo and conditioner, even an ironing board and hair dryer. Most of the time you can find other items in shops around the hotel, but they will be limited and expensive. If you are particular, don’t forget them.

You shouldn’t bring every credit card you have, but unexpected things may happen and it’s best to be prepared. Always keep your emergency funds separate from your spending funds.

When it comes to clothing, be sure to bring enough outfits to last you a little longer than your stay. You will be experiencing long days with many different activities and some people find it comfortable to change throughout the day. You may also want to wear different clothing to your activities, classes, meet-ups, special events, etc. And don’t forget, accidents happen, so it’s never a bad idea to have a spare shirt or pair of pants just in case. The classrooms and the hotel can get a little chilly, so you will want a sweater to make sure you are comfortable! If you enjoy dressing up for the Banquet dinner, special events, or just in general, make sure to bring your accessories. You will likely also want to look your best while enjoying the pool and hot tubs! Don’t forget about the opening party, which takes place this year at the Bally’s pool.

There may be times when you want relief from your nice shoes. We suggest bringing multiple pairs. You will track a lot of miles in Vegas!

Even if you don’t normally use lotions and moisturizers you will very likely need them in Vegas. It’s dry in the desert and even drier in the hotel. Battling dry lips in a dry climate can be even more challenging. Bring as much chap stick as you can. If you will be laying by the pool or leaving the hotel, sunscreen will save you from a nasty sunburn. Even if you only go in the sun for a few minutes, apply sunscreen! Las Vegas is no joke during the month of July!

Pain relievers, allergy pills, and the like can make a world of difference when you need it most. Make sure to bring enough to last you through your stay and a few extra days just in case. Taking vitamins in advance of arriving will improve your chances of staying healthy so don’t delay.

Things in Las Vegas can be expensive and eating between classes, events, and socializing isn’t always easy to fit in your schedule. Having a supply of on-the-go snacks that don’t require a fridge or preparation can make your week less stressed. There are some grocery stores around to help you stock up for your stay if needed.

Especially during this week of networking, it is important to stay connected. Having a copy of your portfolio ready to go on your phone or laptop can make a lasting impression while networking. With all this networking don’t be surprised if your battery needs more charging than normal. So ensuring you have chargers for all of your electronic devices is mandatory. It’s also a good idea to have a stack of business cards at the ready. We all know technology isn’t always there when we need it, so in case of an emergency or if you misplace your phone, keeping some contacts in your wallet can be a lifesaver.

By downloading the 2016 Conference app you will be able to check out your schedule, find where you are going, and to get any last minute updates.

Always have water with you! Remember that Las Vegas is a desert. Staying hydrated is not only important, but is a key to having a good experience. Awesome APP water bottles are available for purchase at the merchandise booth. There are also water dispensers provided throughout the conference area so feel free to use them!

The APP Board of Directors and Administrator, along with the Conference Staff, Volunteers and Mentors all want you to have an exceptional experience. If there are any questions we can answer or concerns that should be addressed, please do not hesitate to contact us.

Point 74: “FDA Approved” – Let’s Get Real – Pat McCarthy

Pat McCarthy headshotPat McCarthy
Owner of Piercology

“Approved by the FDA” is a claim we’ve all seen on corporate websites or mentioned in marketing literature and online ads. Salespeople sometimes refer to the products they promote within the body art community as being “FDA approved”. Clients who come to Piercology often ask me or my piercing staff if the US Food and Drug Administration (FDA) has approved the products we use. I’m sure many of you have faced similar questions or simply wondered yourselves.

I’ve done some research in order to clarify the issue and answer in a fair and honest way the following questions. Does a manufacturer or distributor have the legitimate right to claim a particular product was approved by the FDA? If the product has an Over-the-Counter (OTC) drug label and a National Drug Code (NDC) number what does that really mean?

This is what I’ve discovered:

The classification of cosmetics and drugs are defined by law, based on their intended use. Each classification has associated laws and regulations. There is a lot of information available, so let’s start with a few excerpts directly from the FDA website:

The Federal Food, Drug, and Cosmetic Act (FD&C Act) defines cosmetics by their intended use, as “articles intended to be rubbed, poured, sprinkled, or sprayed on, introduced into, or otherwise applied to the human body…for cleansing, beautifying, promoting attractiveness, or altering the appearance” [FD&C Act, sec. 201(i)]. Among the products included in this definition are skin moisturizers, perfumes, lipsticks, fingernail polishes, eye and facial makeup preparations, cleansing shampoos, permanent waves, hair colors, and deodorants, as well as any substance intended for use as a component of a cosmetic product.

The FD&C Act defines drugs…as “articles intended for use in the diagnosis, cure, mitigation, treatment, or prevention of disease” and “articles (other than food) intended to affect the structure or any function of the body of man or other animals” [FD&C Act, sec. 201(g)(1)].

Under the FD&C Act, cosmetic products and ingredients, with the exception of color additives, do not require FDA approval before they go on the market. Drugs, however, must generally either receive pre-market approval by FDA through the New Drug Application (NDA) process or they must conform to a “monograph” for a particular drug category, as established by FDA’s Over-the-Counter (OTC) Drug Review. These monographs specify conditions whereby OTC drug ingredients are generally recognized as safe and effective, and not misbranded…(and) state requirements for categories of nonprescription drugs, such as what ingredients may be used and for what intended use.

In other words, the FDA does not approve cosmetic products or formulas. It is essentially left up to a manufacturer to insure their product complies with the standards, packaging, and label requirements. We all want to think “natural”, “botanical”, and “herbal” formulas are safer and better in some way. Maybe they are, but I remain skeptical until I know where the ingredients come from and if they have certificates of authenticity. I want answers to questions such as where was the formula developed and manufactured, is there a scientifically based and tested preservative system to prevent bacterial growth, is there stability testing, and has the product been tested against the type of bacterial concerns we face in our professional lives such as Staph, E.coli and MRSA? I’ve often wondered how some non-OTC products on the market have “healing claims” yet despite their intended use they are not registered as an OTC drug with an NDC number?

FDA over the counter drug labeling
“FDA published a final regulation (21 CFR 201.66), establishing standardized content and format for the labeling of OTC drug products.”

Contrary to what some people hope or believe, the FDA does not have a system in place to approve the vast majority of non-prescription OTC drug products intended for human use either. It is up to the manufacturer to insure their product(s) follow the existing monographs and prove their products are both safe and effective. At first glance it seems as if the government is relying on an “honor” system they believe responsible companies will follow.

Unfortunately, the result of leaving it up to others is that some claims seem “too good to be true”. Is it possible for example that a single product can be effective as a “skin prep” and gentle enough for “aftercare”? The concept of “electrified water” seems promising, but if sealed packaging is required to prevent a reduction in efficacy how do we know if the product works as promised after it’s opened, or after a few weeks or months. Critical questions should be asked regarding how a product is manufactured and if the prevailing monographs are being followed. Also important to question: how has the product been tested and where can the test results be found?

The FDA issues “Establishment Licenses” to manufacturing facilities that comply with rigorous standards that include “Current Good Manufacturing Practices” (cGMP) so it is important to know where the products we use and recommend come from. Topical antiseptics for example should be manufactured following cGMP regulations to insure the facility has appropriate procedures in place to prevent the presence of objectionable microorganisms in drug products that are not manufactured as sterile. A licensed facility typically has the staff, equipment and procedures in place to validate the raw materials, formulas and every stage of the production process.

Incredibly, there are documented cases of companies using “NDC-like” numbers on their labels without ever applying for or obtaining the legitimate NDC. Typically however, the vast majority of companies file an application to obtain the NDC prior to offering the product for sale to the public. Does this mean all OTC drug formulas are approved in advance? NO! Does it mean the FDA has approved the product because an NDC number has been assigned? NO! Obtaining an NDC number means the manufacturer has provided the required information and followed the correct steps during the application process. This includes stating the intended use of the product and confirming the active and inactive ingredients are not restricted or used in amounts beyond the established limits. Also, the OTC drug label structure and claims must all fall within the prevailing FDA monograph.

A section of the FDA website supplies a frequently updated NDC directory, which clearly states: “Assignment of an NDC number does not in any way denote FDA approval of the product. Any representation that creates an impression of official approval because of possession of an NDC number is misleading and constitutes misbranding. (21 CFR 207.39)”

So why do some companies claim their products have been “FDA approved” when in fact it’s not an accurate statement? Do they think we are easily fooled? Maybe…

The FDA website explains the drug application of OTC classified products, which states: “OTC drugs are defined as drugs that are safe and effective for use by the general public without seeking treatment by a health professional. Because there are over 300,000 marketed OTC drug products, FDA reviews the active ingredients and the labeling of over 80 therapeutic classes of drugs. OTC drug monographs are a kind of “recipe book” covering acceptable ingredients, doses, formulations, and labeling. Once a final monograph is implemented, companies can make and market an OTC product without the need for FDA pre-approval. These monographs define the safety, effectiveness, and labeling of all marketing OTC active ingredients.”

DailyMed is a website operated by the US National Library of Medicine (NLM) to publish up-to-date and accurate drug labels to health care providers and the general public. The contents are provided and updated daily by the FDA. As a handy reference source that lists individual OTC drugs that have been assigned an NDC number, it is important to know the information provided usually comes with this disclaimer: “Most over the counter (OTC) are not reviewed and approved by the FDA. However, they may be marketed if they comply with applicable regulations and policies. FDA has not evaluated whether this product complies.”

Food and Drug Administration headquarters
FDA headquarters

The bottom line is this, don’t be fooled by marketing claims that a particular product has been “approved” by any government agency, including the FDA. My best advice is to look up the NDC number on a site like DailyMed, find out the origin of the product, and ask the manufacturer or distributor for documented test results from a recognized and trusted lab to substantiate their claims of safety and efficacy. It always pays to ask questions, for your sake and for the sake of your clients.

Many products used in our industry may be well intentioned, including those meant for aftercare, but it’s important to know if the manufacturer follows aseptic cGMP techniques and the FDA monograph rules that cover acceptable ingredients, doses, formulations, and labeling of an OTC drug product. “Natural” does not automatically mean it’s better, safer, or more effective. Ask to see bona fide test results.

I’ve seen enough in my 22+ years in this business to know it’s OK to be skeptical. It’s OK to question what you do as a professional and strive to be the best you can be. It just makes good sense to protect yourself and your clients in order to grow your business. Because your friend or another artist uses a product does not prove anything! Before you choose to work with any product, or recommend it for your clients, find out where it comes from, and what testing has been done to prove it is both safe and effective for the intended purpose. Good luck and may your business grow and prosper in the future.

Some background: Pat is the owner of Piercology in Columbus, OH, one of the oldest and most successful piercing studios in the USA. He was the first elected President of the Association of Professional Piercers. He is the founding and current President of the Association of Body Art Professionals in Ohio. Pat has been working with Ohio legislators on body mod studio regulations, and he frequently lectures Ohio Health Inspectors on bloodborne pathogens and best practices in piercing and tattoo studios.

Point 74: Piercing Trends as an Opportunity to Educate – Ryan Clark

Ryan Clark HeadshotRyan Clark
Immaculate Body Piercing

No matter what your opinions are on the current trend and associated claims regarding daith piercings, you can’t deny their existence and the impact that trends like these – I’m looking at you, triple forward helix – have on the piercing industry. Perhaps more important to consider, is the way that these trends influence how clients or potential clients perceive us. With the way that information is shared these days – mostly thanks to the prevalence of social media – there is likely always going to be a “new” trendy piercing. To most of us, these piercings will be old hat. They may not (read: hopefully won’t be) touted as some sort of miracle cure for some ailment. Regardless of the circumstances, there is much to be gained from anything that is bringing potential clients into your studio. Being honest and transparent is always going to be more important than making a sale. However, there are many things to take into consideration when you find someone at your counter who likely never expected themselves to end up in a piercing studio.

Daith piercing by Ryan Clark
Daith piercing performed by Ryan Clark

First and foremost, it’s always going to be important to dispel myths. We all know there are many associated with piercings; from not being able to breastfeed after getting nipple piercings to, more recently, daith piercings being a cure for migraines, anxiety, and whatever else the internet has come up with since the writing of this piece. Remember, it is our job as ethical piercers to disseminate information about piercing to our clients and a large part of that is diffusing misinformation, even when doing so means potentially losing a sale. I’d go so far as to say especially when it means potentially losing a sale, because building trust is infinitely better for business than taking someone’s hard-earned money under false pretenses.
Since the current trend centers around daith piercings being the miracle cure for migraines, we can use that as an example. When a client walks in asking about the headache cure, we should be telling them that there’s absolutely no verifiable evidence to support that a daith piercing cures anything other than an unadorned ear. As ethical piercers, these types of misconceptions should be cleared up before talking with the client about doing a piercing. There really isn’t any wiggle room on this, because it’s fact whether we want to accept it or not; any “evidence” that has been seen is purely anecdotal. We should all know that individual experience is irrelevant in relation to things such as cures for medical conditions. Since you can read all about confirmation bias, case studies, and double blind experiments in Jef Saunders’s recent blog about the speculation that daith piercings cure migraines, I won’t delve too deeply into this.

Daith piercing by Jef Saunders
Daith piercing performed Jef Saunders

While there isn’t a whole lot of reason to define what anecdotal evidence is or explain the general lack of scientific consensus to someone who just walked in looking for a piercing, you should be able to if needed. The same way you can explain that a vertical hood piercing isn’t going to cause nerve damage to the clitoris, you should be able to explain that a daith piercing probably isn’t going to cure their migraines. If the client still wants the piercing (and many, if not most will) then you can at least carry on with a clear conscience.

The type of clients who end up in your studio because of trends like these present a unique opportunity. Many of them have preconceived notions about piercing studios, and piercers, that they will find simply aren’t true when visiting studios that meet industry standards. Again, a huge part of our job as piercers is to educate, and these situations often become excellent chances. When your client decides they still want a daith piercing, you get to inform them that they’re not stuck with the poorly-sized curved barbell that they probably saw in whatever article they read. You have the opportunity to inform them that real body jewelry comes in many sizes, styles, and implant grade materials. The term standard, doesn’t really apply; the sky’s the limit now a days with body jewelry designs.

You become an ambassador for the entire piercing industry every time one of these clients walks through your door. While we should all be doing our best to give every client the best experience they can have, these types of people should be given extra consideration. You can teach them about jewelry standards, especially in regards to what to look for when choosing a piercing studio. You can correct misconceptions about allergies to everything except gold, while explaining that you offer a wide selection of jewelry including nickel-free gold, if that’s what they would like. When they ask if you’ll be using a gun (and there is a good chance they will) you have the chance to explain how piercing guns are unsafe. They will inevitably pass this information onto their friends and loved ones who ask about the rad new piercing they got. In turn, this single piercing experience has the potential to save an untold number of people from the bad experience of being pierced by untrained hands.

I think it is sometimes easy for us to lose sight of what we’re really trying to accomplish as piercers. Obviously we are trying to do clean, safe piercings, but that’s only one facet of the job. Many of us are guilty of worrying excessively about the opinions of our peers, yet failing to go above and beyond to impress the people who matter most: our clients. These are the people who are literally giving us a reason to come to work every day. By no means am I saying that you should disregard the opinions of your peers; in a tight-knit industry like ours, they definitely do matter. However, your personal feelings should always take a back seat to the health, safety, and mental-well being of your clients. So when someone is desperately searching for relief, it is unethical to not be upfront about your almost certain inability to provide that relief with a piercing. However, if you take the time to be compassionate and informative in your response, you just might end up with a lifelong client anyway.

Point 73: A Parent’s Guide to Safe Piercing for Children’s Ears

Child's ear piercing performed by Becky Dill at Cold Steel Piercing Photo by Danielle Greenwood
Child’s ear piercing performed by Becky Dill at Cold Steel Piercing
Photo by Danielle Greenwood

Proper technique, sterility, piercing placement, aftercare, jewelry material, and style are among the many important factors that go into a successful piercing. First, let’s look at the technique itself. Piercing guns use pressure to force a pointed object, the jewelry, through the skin. While these mechanisms may seem like a quick, easy, and convenient way of creating holes, they can have major drawbacks in terms of tissue damage, inappropriate jewelry designs, and sterility. These concerns have been documented in medical literature over the years and provide proof of these concerns.

Due to the dull nature of the jewelry used in piercing guns, more damage is caused to the tissue when compared to piercings done with quality piercing needles. The effects are similar to a blunt force trauma including significant pain, swelling, scarring, and an increased potential for complications. The gun then pinches the back of the jewelry in place snugly against the skin, allowing no way for the new wound to breathe and heal properly. The customer is often told to turn the jewelry, which only further pushes growing bacteria into the wound, increasing the risk of infection and delaying the healing process considerably.

Additionally, it has not been documented how often piercing guns malfunction. Some operators report that the earring adapter that holds the jewelry often will not release the earring, requiring its removal with pliers. These pliers, which contact contaminated jewelry immediately after it has passed through the client’s tissue, may be reused on multiple customers without full sterilization. Few, if any, gun piercing establishments possess the expensive sterilization equipment necessary for such a process. Occasionally the intense pressure and speed of the gun’s spring-loaded mechanism is not sufficient to force the blunt jewelry through the flesh. In these cases, the earring stud may become lodged part way through the client’s ear. The gun operator, who may not be trained to deal with this possibility, has two options. S/he can remove the jewelry and repierce the ear, risking contamination of the gun and surrounding environment by blood flow from the original wound. Alternately, the operator can attempt to manually force the stud through the client’s flesh, causing excessive trauma to the client and risking a needlestick-type injury for the operator.

Diagram showing the differences in the "cutting edge" of ear piercing studs used in piercing guns. The bottom silhouette is a single use hollow needle.
Diagram showing the differences in the “cutting edge” of ear piercing studs used in piercing guns. The bottom silhouette is a single use hollow needle. Reference: Ear piercing techniques and their effect on cartilage, a histologic study

There may also be a greater likelihood of more serious complications when cartilage or structural tissue such as noses are pierced using a piercing gun. This type of tissue (cartilage) has less blood supply than earlobe tissue and therefore a correspondingly longer healing time; this means that infection in this area can be more likely and more destructive.

Another common concern is sterilization and asepsis. Any kind of procedure which involves contact with blood or bodily fluids requires strict adherence to crosscontamination prevention.

As is now well known, the hepatitis virus can live for extended periods of time on inanimate surfaces, and could be harbored within a reusable piercing gun for several weeks or more. Hepatitis and common staph infections, which could be found on such surfaces, constitute a serious public health threat if they are introduced into even one reusable piercing gun. Considering the dozens of clients whose initial piercings may have direct contact with a single gun in one day, this is a cause for serious concern. Babies, young children, and others with immature or compromised immune systems may be at a higher risk.

Some will argue that the piercing gun never comes in contact directly with a customer’s skin, or is sterilized or disposed of after a single use. This might be true, but the gun operator’s hands do—if they touch the customer’s skin and then touch the gun, the gun is now contaminated. When the gun drives the stud through the flesh— whether or not the skin starts to bleed – there is no way of knowing whether or not tiny particles of blood have been dispersed into the air contaminating everything around it. Piercing guns are usually made with plastic and cannot be adequately cleaned and sterilized for reuse. A quick wipe with an antiseptic pad is not effective in removing disease-carrying blood. Although many manufacturers now make disposable options, these do not negate concerns regarding possible damage to tissue, jewlery quality, or inadequate staff training.

The Association of Professional Piercers does not support the use of piercing guns because the reusable versions can’t be sterilized using APP approved equipment, such as an autoclave. Without proper sterilization, the risk of spreading diseases such as Hepatitis and staph infections increase.

The Bottom Line: Professional piercers use a more modern approach to piercing that’s less traumatic, cleaner, and more likely to result in a smooth healing process.

The Point Issue 73 - Professionals dont use piercing guns

Point 73: Children’s Ear Piercing – Kendra Jane B

Kendra Jane BerndtThe Point Issue 73 - Professionals dont use piercing guns
April Thomas
Julie Taylor

Most of us receive at least one phone a week— sometimes even a day—from a concerned parent wanting to know the best option to pierce their child’s lobes. We are frequently seeing that the safe piercing message is reaching the masses. However, we are still seeing many piercings done with piercing guns. Whether it is because they are unable to find the information in the places they are visiting or because they are intimidated to visit their local tattoo or piercing studio to have their questions answered, parents are using less than favorable methods to pierce their children’s lobes. Perhaps they are leery of taking their six or seven year old daughter or son into said studio because of things that have nothing to do with piercing, such as the music, a worry of profanity or inappropriate behaviour, etc.

Within this article, we have presented similar information in two forms. The first is intended for an audience with a more complete understanding of piercing industry jargon and intricacies. The second presentation has been simplified with our clients in mind. Our intention was to provide something that you are able to print and send home. You can choose which presentation is most appropriate for your target audience. Either way, we encourage you to share the link to this article and repost on every site that questions the safest way to pierce children’s ears.

What is the APP’s position on ear piercing guns?
It is the position of the Association of Professional Piercers that only sterile disposable equipment is suitable for body piercing, and that only materials which are certified as safe for internal implant should be placed inside a fresh or unhealed piercing. We consider any procedure that places vulnerable tissue in contact with either non-sterile equipment or jewelry that is not considered medically safe for long-term internal wear to be unsafe. Such procedures place the health of recipients at an unacceptable risk. For this reason, APP Members may not use reusable ear piercing guns for any type of piercing procedure.

Reusable ear piercing guns can put clients in direct contact with the blood and bodily fluids of previous clients.
Although they can become contaminated with bloodborne pathogens dozens of times in one day, ear piercing guns are often not sanitized in a medically recognized way. Plastic ear piercing guns cannot be autoclave sterilized and may not be sufficiently cleaned between use on multiple clients. Even if the antiseptic wipes used were able to kill all pathogens on contact, simply wiping the external surfaces of the gun with isopropyl alcohol or other antiseptics does not kill pathogens within the working parts of the gun. Blood from one client can become aerosolized, becoming airborne in microscopic particles, and contaminate the inside components of the gun. The next client’s tissue and jewelry may come into contact with these contaminated surfaces. This creates the possibility of transmitting bloodborne disease-causing microorganisms through such ear piercing, as many medical studies report.

The Point Issue 73 - childrens ear piercing Frankie PistoneAs is now well known, the Hepatitis virus can live for extended periods of time on inanimate surfaces, and could be harbored within a piercing gun for several weeks or more. Hepatitis and common staph infections, which could be found on such surfaces, constitute a serious public health threat if they are introduced into even one reusable piercing gun. Considering the dozens of clients whose initial piercings may have direct contact with a single gun in one day, this is a cause for serious concern. Babies, young children, and others with immature or compromised immune systems may be at higher risk.

Additionally, it has not been documented how often piercing guns malfunction. Some operators report that the earring adapter that holds the jewelry will often not release the earring, requiring its removal with pliers. These pliers, which contact contaminated jewelry immediately after it has passed through the client’s tissue, may be reused on multiple customers without full sterilization. Few, if any, gun piercing establishments possess the expensive sterilization equipment (steam autoclave or chemclave) necessary for such a process.

Piercing guns can cause significant tissue damage.
Though slightly pointy in appearance, most ear piercing studs are quite dull. Therefore, these instruments use excessive pressure over a larger surface area in order to force the metal shaft through the skin. The effect on the body is more like a crush injury than a piercing and causes similar tissue damage. Medically, this is referred to as “blunt force trauma.” At the least, it can result in significant pain and swelling for the client, but it also has the potential to cause scarring and increased incidence of auricular chondritis, a severe tissue disfigurement.

Occasionally the intense pressure and speed of the gun’s spring-loaded mechanism is not sufficient to force the blunt jewelry through the flesh. In these cases, the earring stud may become lodged part way through the client’s ear. The gun operator, who may not be trained to deal with this possibility, has two options. S/he can remove the jewelry and repierce the ear, risking contamination of the gun and surrounding environment with blood flow from the original wound. Alternately, the operator can attempt to manually force the stud through the client’s flesh, causing excessive trauma to the client and risking a needlestick-type injury for the operator. How often such gun malfunction occurs has not been documented by manufacturers, but some gun operators report that it is frequent.

When used on structural tissue such as cartilage, more serious complications such as auricular chondritis, shattered cartilage, and excessive scarring are common. Gun piercings can result in the separation of subcutaneous fascia from cartilage tissue, creating spaces in which fluids collect. This can lead to both temporary swelling and permanent lumps of tissue at or near the piercing site. These range from mildly annoying to grossly disfiguring, and some require surgery to correct. Incidence can be minimized by having the piercing performed with a sharp surgical needle, which slides smoothly through the tissue and causes less tissue separation. A trained piercer will also use a post-piercing pressure technique that minimizes hypertrophic scar formation.

Cartilage has less blood flow than lobe tissue and a correspondingly longer healing time. Therefore infections in this area are much more common and can be much more destructive. The use of non-sterile piercing equipment and insufficient aftercare has been associated with increased incidence of auricular chondritis, a severe and disfiguring infection in cartilage tissue. This can result in deformity and collapse of structural ear tissue, requiring antibiotic therapy and extensive reconstructive surgery to correct. Again, medical literature has documented many such cases and is available on request.

The Point Issue 73 - childrens ear piercing - Courtney MaxwellThe length and design of gun studs is inappropriate for healing piercings.
Ear piercing studs are too short for some earlobes and most cartilage. Initially, the pressure of the gun’s mechanism is sufficient to force the pieces to lock over the tissue. However, once they are locked on, the compressed tissue cannot return to its normal state. This constriction causes further irritation. At the least, the diminished air and blood circulation in the compressed tissue can lead to prolonged healing, minor complications, and scarring. More disturbingly, the pressure of such tight jewelry can result in additional swelling and impaction. Both piercers and medical personnel have seen stud gun jewelry completely embedded in ear lobes and cartilage (as well as navels, nostrils and lips), even when pierced “properly” with a gun. This may require the jewelry to be cut out surgically, particularly in cases where one or both sides of the gun stud have disappeared completely beneath the surface of the skin. Such risk is minimal when jewelry is custom fit to the anatomy of the client, and installed with a needle piercing technique which creates less trauma and swelling. Custom fit jewelry should allow sufficient room for swelling and can be downsized to fit snugly on healed tissue.

Jewelry that fits too closely also increases the risk of infection because it does not allow for thorough cleaning. During normal healing, body fluids containing cellular discharge and other products of the healing process are excreted from the piercing. But with inappropriate jewelry, they can become trapped around the fistula. The fluid coagulates, becoming sticky and trapping bacteria against the skin. Unless thoroughly and frequently removed, this becomes an invitation for secondary infection. The design of the “butterfly” clasp of most gun studs can exacerbate this problem. Again, these consequences can be avoided with implant-grade jewelry that is designed for ease of cleaning and long-term wear.

Not all piercing jewelry is safe for prolonged wear.
Most ear piercing studs are not made of materials certified by the FDA, ASTM, or ISO as safe for long term implant in the human body. Even when coated in nontoxic gold plating, materials from underlying alloys can leach into human tissue through corrosion, scratches and surface defects, causing cytotoxicity and allergic reaction. Since manufacturing a durable corrosionand defect-free coating for such studs is extremely difficult, medical literature considers only implant grade steel (ASTM F138) and titanium (ASTM F67 and ASTM F136) to be appropriate for piercing jewelry composition. Studs made of any other materials, including nonimplant grade steel (steel not batch certified as ASTM F138), should not be used, regardless of the presence of surface plating.

Misuse of ear piercing guns is extremely common.
Even though many manufacturers’ instructions and local regulations prohibit it, some gun operators do not stop at piercing only the lobes, and may pierce ear cartilage, nostrils, navels, eyebrows, tongues and other body parts with the ear stud guns. This is absolutely inappropriate and very dangerous.

Although gun piercing establishments usually train their operators, this training is not standardized and may amount to merely viewing a video, reading an instruction booklet, and/or practicing on cosmetic sponges or other employees. Allegations have been made that some establishments do not inform their employees of the serious risks involved in both performing and receiving gun piercings, and do not instruct staff on how to deal with situations such as client medical complications or gun malfunction. Indeed, surveys conducted in jewelry stores, beauty parlors, and mall kiosks in England and the US revealed that many employees had little knowledge of risks or risk management related to their procedure.

Considering that a large proportion of gun operators’ clientele are minors or young adults, it is not surprising that few gun piercing complications are reported to medical personnel. Many clients may have been pierced without the knowledge or consent of parents or guardians who provide healthcare access. Therefore, the majority of the infections, scarring and minor complications may go unreported and untreated. Furthermore, because of the ease of acquiring a gun piercing and the lack of awareness of risk, many consumers fail to associate their negative experiences with the piercing gun itself. They believe that, since it is quicker and easier to acquire a gun piercing than a manicure, gun piercing must be inherently risk-free. Often it is only when complications prove so severe as to require immediate medical attention that the connection is made and gun stud complications get reported to medical personnel.

Despite these pronounced risks associated with gun piercing, most areas allow gun operators to perform piercings without supervision. Recent legislation has begun to prohibit the use of guns on ear cartilage and other non-lobe locations, and the state of New Hampshire has made all non-sterile equipment illegal, but these changes are not yet nationwide. It is our hope that, with accurate and adequate information, consumers and the legislatures will understand and therefore reject the use of gun piercing in the interests of the public health.

References Cited:

Pediatric Emergency Care. 1999 June 15(3): 189-92.
Ear-piercing techniques as a cause of auricular chondritis.
More DR, Seidel JS, Bryan PA.

International Journal of Pediatric Otorhinolaryngology. 1990 March 19(1): 73-6.
Embedded earrings: a complication of the ear-piercing gun.
Muntz HR, Pa-C DJ, Asher BF.

Plastic and Reconstructive Surgery. 2003 February 111(2): 891-7; discussion 898.
Ear reconstruction after auricular chondritis secondary to ear piercing.
Margulis A, Bauer BS, Alizadeh K.

Contact Dermatitis. 1984 Jan; 10(1): 39-41.
Nickel release from ear piercing kits and earrings.
Fischer T, Fregert S, Gruvberger B, Rystedt I.

British Journal of Plastic Surgery. 2002 April 55(3): 194-7.
Piercing the upper ear: a simple infection, a difficult reconstruction.
Cicchetti S, Skillman J, Gault DT.

Scottish Medical Journal. 2001 February 46(1): 9-10.
The risks of ear piercing in children.
Macgregor DM.

American Journal of Infection Control. 2001 August 29(4): 271-4.
Body piercing as a risk factor for viral hepatitis: an integrative research review.
Hayes MO, Harkness GA.

Journal Laryngology and Otology. 2001 July 115(7): 519-21.
Ear deformity in children following high ear-piercing: current practice, consent issues and legislation.
Jervis PN, Clifton NJ, Woolford TJ.

Cutis. 1994 February 53(2): 82.
Embedded earrings.
Cohen HA, Nussinovitch M, Straussberg R.

Scandinavian Journal of Rheumatology. 2001; 30(5): 311.
Does mechanical insult to cartilage trigger relapsing polychondritis?
Alissa H, Kadanoff R, Adams E.

British Journal of Dermatology. 2002 April 146(4): 636-42.
Decrease in nickel sensitization in a Danish schoolgirl population with ears pierced after implementation of a nickel- exposure regulation.
Jensen CS, Lisby S, Baadsgaard O, Volund A, Menne T.

Toxicology In Vitro. 2000 Dec 14(6): 497-504.
Cytotoxicity due to corrosion of ear piercing studs.
Rogero SO, Higa OZ, Saiki M, Correa OV, Costa I.

Journal of the American Medical Association. 1974 March 11; 227(10): 1165.
Ear piercing and hepatitis. Nonsterile instruments for ear piercing and the subsequent onset of viral hepatitis.
Johnson CJ, Anderson H, Spearman J, Madson J.

Journal of the American Medical Association. 1969 March 24; 207(12): 2285.
Hepatitis from ear piercing.
Van Sciver AE.

Journal of the American Medical Association. 291.8 (2004): 981-985.
Outbreak of Pseudomonas aeruginosa infections caused by commercial piercing of upper ear cartilage.
Keene, William E, Amy C Markum, and Mansour Samadpour.

Point #71: Process of Choosing Conference Classes – John Johnson

JJohn Johnson
Owner of New Flower Studio

Editor’s note: This is John Johnson’s response when asked to explain what is involved when deciding what classes are offered and what instructors will lead them. Our goal was to provide attendees with behind-the-scenes information about the classes they attend.

The short answer is the nine person Conference Committee creates a suggested curriculum for each Conference. This curriculum gets presented to the Board who approves it or requests changes.

The longer version is more like this: After Conference, the committee starts its round of meetings for the next year. Many things are discussed, classes and instructors are a major topic. Each of us on the committee have ideas about what is needed and what can be improved. Those ideas are all put into a list. We used to get only a few class suggestions each year, but now that Conference has grown so much over the most recent years we have more proposals submitted than we know what to do with. Some people suggest classes they would like to take. Others suggest classes they want to teach. When similar topics are proposed by multiple people, the ideas are combined. This is often how multiple people present a course at Conference.

We have core classes that we offer every year like Anatomy, Medical Risk, BBP, Initial Size and Style, etc. These are fundamental subjects and will always be offered. But any courses that are introduced as an initial offering, may rotated in and out of the schedule every few years, and are selected based on their relevance to the industry at the time, or the number of years since they’ve been offered.

Many years ago, before committees were in place the way they are now, the Board of Directors did all conference planning and most of the instructing. The Association has grown so much and has so many things like outreach and legislation work, it isn’t practical for them to do everything. Fortunately, 19 years of conference planning has given us an effective system that includes a strong and consistent conference staff.

Conference Class by Category Statistics - Graph generated by Marina Pecorino
Conference Class by Category Statistics – Graph generated by Marina Pecorino

The instructors are selected based on being known experts on the topic they teach, and after 20 years we have a long list of reliable presenters who can be used in their regular spots and inserted where needed. But the industry grows and there are always trailblazing piercers who make their mark and get the opportunity to teach at Conference. When their classes are well done and well received by the attendees they have opportunities to return. Some people will be asked to present but not feel comfortable doing so; public speaking isn’t easy. Sometimes people teach for the first time and decide they don’t want to do it again. Instructors have an obligation to present information that can be both useful and understood by the attendees. A course isn’t useful if the learner can’t take the information home and use it in their studio. So public speaking rule #1 is to know your audience. Also, the content must be in the context of the current piercing environment and the APP’s mission. The APP has printed literature like the Procedure Manual and several brochures. An instructor must not present any material that directly contradicts the current positions of the Association. Piercers work very differently and diversity is appreciated. This is why many classes with different instructors can be so great, because different opinions or strategies are offered. But we still need to present information that aligns with the APP’s available materials.

For the months leading up to Conference, instructors are hard at work developing outlines for their course. What will they offer this year? What can they leave out? We review the previous years’ handouts and slideshows. We review the material other past instructors used. We make calls to colleagues to ask their opinions. We look for ways to make the information useful and up-to-date, without being the same course as the previous year. When we include new instructors to the lineup we add fresh ideas and that’s sometimes all it takes. All of this comes together to create the schedule of classes that you see at Conference each year.