Point 73: This One Time at Piercer Camp…
Category Issue 73
Point 73: A Parent’s Guide to Safe Piercing for Children’s Ears
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.
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.
Point 73: Children’s Ear Piercing – Kendra Jane B
Kendra Jane Berndt
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.
As 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 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 73: BMXnet – Nicole Holmes
Nicole Holmes
Blue Lotus Piercing, APP Member*
September 3 through 6 of this year, I was fortunate enough to attend my fourth BMX Conference, which was held in the small but beautiful city of Essen, Germany. The conference was coordinated by the charismatic Stefan Schomowski and his team of trusted helpers and volunteers. As much as I always enjoy this conference, I must admit that just visiting Essen is lovely too: scattered city water fountains, the shopping district, and great food. It is honestly the highlight of my piercing year. Each year I arrive earlier and leave a little later.
The venue for BMX is partly the reason I return year after year; the Unperfekthaus is truly a spectacle to behold. As an artist’s village nestled within the city, it really doesn’t disappoint. It is such an inspiration to sit for lunch, walk the corridors, or climb the stairs. Every wall is hand painted, covered in collage, or decorated with a sculpture of sorts. When this venue is full (on registration day, capacity is reached long before breakfast) the atmosphere becomes energized. With so many like-minded people gathering from around the world, BMX embodies a special sense of purpose and community.
I remember my first BMX in 2012. I didn’t know anyone there personally. I was sitting outside alone having coffee at the ungodly hour of 8:00am just because I was excited. The first person that sat by me grew to be the first of many conference friends. Each year BMX expands and there are new faces, new friends to be had. I find it so easy to talk to people during the event. This is another reason I keep attending.
I have attended many seminars, day events, and conventions, but none compare to BMX. There are no similar conferences or events where I live in the North of England. My last large scale, piercing specific event was the 2002 APP Conference & Exposition in Amsterdam. However, 2002 was more than a decade ago and so much has changed. There has been so much grown in the industry since then, I feel a comparison would be irrelevant.
What I can say with certainty is that BMX is not like anything I could have imagined. This year marked the 9th annual conference and it really demonstrated the team’s experience. From the smooth running operation of things to the flow from class to class, the grouping of the lectures was natural and it never felt rushed. Although I feel there was never enough time to visit the expo to do some shopping!
Classes covered topics such as hygiene in the studio, creating sacred space, earlobe reconstruction, and magnet removal. BMX is as it always has been, an umbrella of many topics, not solely piercing based subjects. Tattooing and other modifications are also covered. Many attendees expressed their fondness for this scope of subjects.
I personally feel I absorbed the most this year from the roundtables. These communal discussions based on topics such as “Ethics” led by Samppa Von Cyborg, covering the delicate issue of recording and posting video clips on the internet when you may unwittingly represent the whole industry. In another of this year’s fascinating roundtables, titled “Implantable Technology,” Tim Cannon brought his prototype silicone implant containing LED lights capable of being switched on and off by the users already-implanted magnet. There were even some attendees who were so passionate about the topics that they were willing to hold roundtables at all hours of the day or night. That is a perfect example of the freeform and flexible nature that is BMX.
After classes on both Friday and Saturday, there were striking and eclectic shows from Coco, Superfly, Squid O, and Pain Solution which enchanted the late night crowd with a manifestation of freakshow/sideshow entertainment. This was followed by the annual prize draw raffle.
Overall the whole adventure of BMX was undeniably a special triumph of our industry and community. After discussing this year’s efforts with many other attendees, both new and old, I feel the response was very heartwarming. Everyone that learned and loved at BMX promised to return the following year, myself included.
*Nicole Holmes is one of the newest APP Members in the UK.
Point 73: UKAPP, A Prelude – Ryan Ouellette
Ryan Ouellette
Precision Body Arts
In September of 2015 I traveled to Birmingham, England for the first seminars of the newly formed United Kingdom Association of Professional Piercers (UKAPP). When I got home and sat down to write about my experience I found myself thinking more about wider-reaching industry issues which affect not only the UK, but Europe as a whole. My intention was to give a little perspective as to why there are so few APP Members overseas compared here in North America. Once I started I discovered there was much more to the issue than I could properly cover in a single article, so I have decided to make this a two part piece. Hopefully it will give you an idea of the challenges European piercers face if they want to meet APP membership standards, and in turn hopefully it will show you just how impressive and hard working this group of piercers is.
I travel, what many would consider, a fair amount for a full time piercer. Not as much as some, but much more than others. I try to do as much of that travel outside of my home country (the United States) as possible. I like to see new countries and cities, and while I’m travelling I like to meet other piercers and learn how they practice our craft in their respective areas. When I meet piercers from Europe the conversation always ends up being about the APP. I hear quite a few issues voiced when the topic comes up, not necessarily with the organization, but more so in how our Members talk about other regions or parts of the world being “behind” when it comes to piercing. There is the perception that APP Members imply a piercer who does not use the best jewelry available is being unprofessional. I myself have even made the mistake of assuming “good piercing” is all about the jewelry. Now in an era of social media, these perceptions are more important than ever. Anyone can get nice jewelry, install it in a new or healed piercing, and take a picture. That does not make them a good piercer, or a true professional. In my opinion the sign of a professional is continuing to learn and evolve and to strive to give our clients the best work possible. That doesn’t mean you start out doing exactly what you want. For most piercers it is a struggle and you are constantly working towards a goal that, in turn as you progress, changes over time.
I have met piercers in almost a dozen different countries around the world and I see the same challenges that piercers in the US face: “my customers won’t pay X for good quality jewelry”, “my boss won’t invest in quality”, “there are no educational opportunities in my area”. These are all obstacles that a piercer can overcome with time, persistence, education, and a flexible budget. However, there is another aspect that I think US piercers take for granted: access to supplies. In the European Union (EU) and the United Kingdom (UK), piercers have an additional challenge. As an example, if you want to order Neometal, Anatometal, BVLA, or most other US made jewelry, not only do you have to deal with long wait times, but also increased shipping costs, delays with customs, and substantial import taxes. Canadian and Latin American piercers face these challenges as well, but to a lesser extent, due to their proximity to where most high end piercing supplies are manufactured. In England, if a piercer orders jewelry they have to pay approximately 20% extra to import it into their country, and that is on top of already significant international shipping costs. Imagine waiting even longer and paying even more. How many US piercers, barely keeping internally threaded and threadless jewelry in stock, would implode at that added challenge? There are almost no native companies manufacturing body jewelry in the EU or the UK at this time. Many have moved production to Asia to lessen costs. Those companies left manufacturing in the EU and UK offer little to no internally threaded jewelry, hand polishing, or products made from materials the Association of Professional Piercers would classify as acceptable for initial piercing.
Needles are another obstacle. How many American piercers are aware of the differences between “blade needles” or “cannulas”? There is a simple reason why; you would never need to. Any American piercer can buy needles made specifically for body piercing, in varying qualities. Again, in the EU and UK there is little to no access to what we would consider “piercing needles” without importing them. In most of Europe there are fewer restrictions on medical devices so it is very common for piercers to use medical catheter needles and biopsy punches to perform body piercings. They call what American piercers use a “blade” needle to distinguish it from the more common cannula needles they are using. Since they don’t have the same access to blade needles many of their techniques are built on a foundation of using the cannula sheath for jewelry transfers. If you are unfamiliar with a cannula it is a plastic sheath covering the needle that can slide off and be used as a catheter. If you have had IV fluids in your arm or hand at the hospital. That little tube going into your vein or artery is a cannula. The application is to pierce through the tissue, once the needle and sheath exit you can slide out the needle leaving the cannula in place. You can then insert jewelry (internal or external) into the sheath and back it through the piercing. In theory this covers external threading during insertion so many European and British piercers see it as negating the risk of using external threading. Whether is does or does not could be another whole article.¹
I hope by now you can see where the different mindsets come from between US and Europe counterparts. Imagine all those obstacles, and a piercer without those obstacles calling you lazy or sloppy because you do not have the means to overcome said obstacles. It would be frustrating, it might even make you apprehensive to strive to reach the goals that same piercer holds as being a minimum standard. One of the most common complaints I hear about the APP is that membership is geared almost entirely to piercers in the United States. While it is true that the vast majority of APP Members are operating in the US, I have met APP Members all over the world: Sweden, Norway, Denmark, Mexico, England, and more. If APP membership is not an easy goal to achieve in a specific region, another option to improve standards is to create a local organization such as the APTPI (Italy), LBP (Mexico, Central, and South America) and the newly formed UKAPP. The point of these other organizations is not to have lower standards, but to have standards geared towards their specific region. For instance, if jewelry concerns are not the main obstacle, the organization can instead focus on other safety issues such as sterilization, studio layout, and training.
Every Fall I travel to Essen, Germany to teach seminars at the BMXnet (Body Modification Exchange Network) Conference. I’ve met some fantastic piercers from all over Europe there. At the 2014 event I spent quite a while talking with a British piercer named Nici Holmes. We talked about many of the points mentioned above. Specifically, we discussed how it is very challenging to be a piercer who wants to offer quality, especially when the items that go into a “quality” piercing need to be imported from another continent. We talked about how many of the best piercers in the UK could not meet membership standards set forth by the Association of Professional Piercers. One of the concerns she voiced: most, if not all, of the jewelry that meets APP standard is based on ASTM material standards, which has led to some confusion as it previously stood for the AMERICAN Society for Testing and Materials.² The APP jewelry standards were revised in 2009 and currently include both ASTM and ISO designations. Much of Europe is moving away from allowing steel as an acceptable material for body jewelry due to nickel content, but at the same time Europe widely allows the use of G23 grade titanium, which is an industrial grade, rather than an implant grade material. G23 Ti has been used as an alternative to nickel containing alloys and its safety has not been addressed, as regulations focused on eliminating nickel as an allergen, not on validation of a material for safe healing and prolonged wear.
Nici talked about how she wanted to start a dialog with other British, Irish, and Scottish piercers to try to form a new group. At first I thought the intention was just to have some casual meetings and discuss industry issues. Apparently the idea caught on and soon after, with the help of a crowdfunding campaign, there was a new nonprofit formed to focus on safe body piercing in the United Kingdom. One of their first acts was to host a central meet. In the next issue of The Point I plan to elaborate on what was accomplished at their first meeting.
¹The plastic sheath is easily damaged which in turn can damage tissue. Also, the blade length is significantly shorter, limiting or preventing many of the bevel theories modern freehand piercers are so fond of.
²The ASTM has focused on international trade since the 1970’s. In 2001 it was rebranded as ASTM International, and is used globally in more than 140 countries.
Point 73: LBP Update – Jef Saunders
Jef Saunders
Membership Liaison
The LBP—Asociación Latinoamericana de Body Piercing AC (Latin American Association of Body Piercing) Conference was held in Tlaxcala, Mexico at the Trinity Vacation Center from November 2-6, 2015. This is the third annual official LBP Conference, and the second I was lucky enough to participate in.
The LBP Conference has a special magic air that surrounds it. While it is officially a Spanish speaking conference, piercers from around the globe were in attendance. The remote location of the facility means that most attendees and speakers arrive via buses provided by the LBP. These bus rides are wonderful, which feels weird to say, but the whole trip from Mexico City to the vacation center is a wonderful bonding experience. My experiences vary from practicing my classes to thoughtful discussions, even sing-alongs to ‘80s songs. It fosters a wonderful sense of community amongst the speakers and attendees.
In terms of setting, this year’s LBP was spectacular. The Trinity Vacation Center is a wonderful facility, with brick walls and a stunning view of the volcanic mountains surrounding it. The combination of the remote location, climate (warm days and chilly nights), mountain air and the time of year (Día de Muertos) made for a unique experience that I believe all the attendees enjoyed.
Classes were held throughout the week, and were located in two classrooms connected by a courtyard with a Day of the Dead altar at the center.
This year I was thrilled to present two separate classes: “Disposable Piercing Studios” and “Navel Piercing: Advanced Fundamentals”. My Spanish is very limited (although the full immersion allowed me to follow along with many conversations, even if I didn’t have the means to contribute in Spanish) so I was fortunate to have translators assist me.
“Disposable Piercing Studios” was co-instructed by Oscar Sandoval, who speaks fluent Spanish and added quite a bit to the presentation. I also had the assistance of Ruben Lew and Jesus “Sala” Cabanas. These two have several projects in the works geared toward Spanish speaking piercers, and I am looking forward to what they have planned.
In my “Navel Piercing: Advanced Fundamentals” class I was joined by Ana Paula Escalante; she seems to be effortlessly everywhere, always helping with everything ensuring a great LBP Conference. There were seemingly endless choices of classes to choose from, but the conference still felt tightly curated. There were presentations by Bethrah Szumski, Autumn Swisher, Nick Wolak, Mauricio Torres, Javier Fingazz, Jesus “Sala” Cabanas, Ruben Lew, Danny Yerna, Luis Garcia, Didier Suarez, Erika Gomez, Oscar Sandoval, Eduardo Chavarria, Ryan Ouellette, Alejandro Hernandez, Ana Paula Escalante and Matias “Rata” Tafel.
I think when one attends a new conference of this type, they can be tempted to draw comparisons and contrasts to familiar events they have attended. What I think is a more honest approach to evaluating any conference is to judge it on its own merits and those alone. The LBP Conference is truly wonderful. The quality of classes are superb. The facility is wonderful, and the people make this experience extra special. The LBP Conference either intentionally or as a happy accident fosters deep friendships amongst piercers who may have otherwise never met. I can’t say enough positive things about the excellent job the LBP Board of Directors and their volunteers do. I hope to be a part of LBP Conferences for many years to come, and I look forward to seeing so many LBP attendees at the APP Conference next year.
Point 73: Ohio Legislation Update – Patrick McCarthy
Patrick McCarthy*
Piercology, Inc., Body Art Solutions
For the last three years, the state of Ohio has been rewriting its body art Rules and Regulations. Beginning in 2013, a number of body modification professionals, health inspectors, medical professionals, legal professionals, Ohio Department of Professional Personnel and more, set out with the purpose of reworking the outdated rules that had been put in place 18 years ago. The Association of Body Art Professionals was formed for the state of Ohio to take on this task. The association had piercers and tattoo artists from the four corners of the state, many of which were fellow APP Members.
Many people don’t realize that when you are dealing with the government and government agencies, you are dealing with two separate things: rules and regulations, and laws. These are two totally different animals. Laws are far more difficult to change and are usually written to be intentionally vague. Revisions or additions to laws must go through the House and Senate in the state and must be signed by the governor. Rules and regulations go into great detail and are usually written by a committee. Laws are set for the state level. However, most states allow local health departments and municipalities to go above the state’s laws in the rules and regulation procedures. For this reason, it is so important to understand what your local municipality requires, because many people, including public officials, don’t realize the significant difference in laws and rules and regulations. We have the issue of travelling artists being allowed to practice their craft in different states. It is like this in most states, however, some states do things a little differently. So make sure you understand how things work in your state, and any states that you may visit while working.
Going back 18 years, Ohio had some of the best body art laws in the nation, with matching rules and regulations. Because of this, many states set up their laws similarly to Ohio. I was fortunate enough to be involved in writing the laws way back then, and this made it a little easier to get involved in the changes this time. Due to the fact that they were previously so well written, the Ohio Department of Health (ODH) pretty much left the rules and regulations alone until 2 years ago. Unfortunately, due to the lack of evolution, the rules and regulations had become outdated.
Overhauling the antiquated laws and rules and regulations to reflect the incredible amount of advancement in our industry over that 18 year period was no easy task. Our committee met, on average, once or twice a month, for nine months going over all of the changes that needed to take place. During these meetings, we were able to address many changes that had occurred in our industry.
When originally written, it was stated that studios had to sterilize their own tools. In response to the evolution of pre-sterilized, disposable tools, we added the “Pre-Sterile” law, allowing artists in this state to use presterilized items. Up until this point, an artist was breaking the law if they used pre-sterilized tools. Most states have requirements that rules and regulations be looked at every few years so things like this don’t happen. But, as we all know, if things are working well they never get changed. So I urge each of you to make sure your state stays current with the progress happening in our industry.
The rules and regulations were written with extensive depth and specifications regarding things like quality of jewelry, detailed instruction on how to sterilize instruments, aseptic techniques for set-up and teardown, and even how documentation had to be kept. To ensure that the health inspectors in the state of Ohio were properly trained on the new changes that had taken place, we held back the roll out of the new rules and regulations for six months and offered training to them regarding all of the changes. These training classes were not only open to health inspectors, but also to people in the body art industry, free of charge. This was done so that they could learn how the changes in rules and regulations would affect their studios and to help them understand what changes needed to be implemented.
We taught ten classes throughout the state over a 6 week period with over three hundred health inspectors in attendance. These classes went into great detail regarding instruction for inspectors. We covered topics such as correct procedures for disinfecting and sterilizing, proper aseptic technique for both tattooing and piercing, what to look for in an exposure control plan, and what works and doesn’t work regarding aftercare. Information on industry standards tats was also discussed. We stressed the importance of inspectors observing procedures within the studios to ensure that artists know what they are doing.
The classes were quite successful and the participants enjoyed the opportunity to be in an interactive environment where they could ask questions. These were the first classes that had been offered to them strictly covering body art in the state of Ohio. We learned that making comparisons to the food industry allowed the inspectors to better comprehend the information being taught from that industry to ours. We were asked to record a final class session in a sound studio using the PowerPoint presentation. This prerecorded session is now used for training new inspectors. We were also invited to teach classes for inspectors at four conferences across the state.
I have maintained a great working relationship with ODH over the last 19 years of working with them. It is important to remember a few things when building and maintaining a working relationship with health departments and inspectors. As much as you may not like it, we are in their world, so dress accordingly. One of the biggest mistakes I’ve seen over the years, and why many in our industry don’t have a working relationship with their public departments, is the simple fact that they don’t dress up. Don’t expect to be seen as a professional if you show up to a meeting dressed in jeans and a tshirt. Also, don’t talk down to them; treat them as a peer. Health inspectors are just there to do their job and keep the public safe, so if they don’t understand everything in our profession, take the time to educate them. I think you will find that most inspectors welcome any knowledge you can offer them.
Most states have conferences to teach inspectors, and they are always looking for new classes. So feel free to ask your health departments if you might be able to help out and teach a class for them.
*Editor’s Note: Pat was also the APP’s first elected president.
Point 73: Initial Piercing Jewelry: An American Timeline – Matte Erickson
Matte Erickson
Alpha-Omega Body Piercing
In the beginning, there was one main manufacturer: Gauntlet. Originally, gold was the predominant material for jewelry used for initial body piercings. According to Jim Ward (Running the Gauntlet, pg. 35), “There was an interest in stainless steel as a material for piercing jewelry”, but due to his lack of knowledge or experience with it “every piece was either gold or silver”. Many people used standard earrings, but the sizes were limited. These were primarily ring styles—captive bead and fixed bead. There were other individuals making specialty jewelry, but acquiring a piece required knowing someone. The first jewelry catalogue from the Gauntlet is dated August 15, 1976 and includes many styles of jewelry we still see in use today such as the aforementioned bead ring. In fact the currently popular septum retainer was also a Gauntlet innovation.
In its early days, Gauntlet had one short-lived competitor called Whatever Rings. It was run by a gay couple who were heavy S/M players. They operated out of their West Hollywood apartment and sought business through ads placed in the local gay press and Drummer Magazine, a gay BDSM publication. Their jewelry consisted solely of gold abutted rings with no closure. At the time Gauntlet began business in 1975, the only stainless steel jewelry manufacturer of note was Spain’s Custom in Lawton, Oklahoma. It was the jewelry favored by early pioneer Sailor Sid. Although the quality was acceptable, at least by the standards of the time, some objected to the stiffness of the unannealed rings and chose not to offer these products to their customers. Spain’s barbells were also externally threaded. Spain’s Custom advertised in PFIQ until the time Gauntlet began manufacturing and offering stainless steel jewelry of its own in the early 1980s.
Ray Spain, the owner of Spain’s Custom, suffered from back problems which eventually became so severe that he was forced to close his business. Sailor Sid purchased the equipment and began manufacturing jewelry under the name Silver Anchor.
The internally threaded barbell is credited to Tattoo Samy from Frankfurt, Germany—early barbells had no countersink. Over the years, Jim Ward expanded on this, not only manufacturing straight, but also curved and circular barbells. Other companies came and went in the beginning, but Gauntlet remained the staple for many years.
The ‘80s and ‘90s saw a rapid influx of jewelry manufacturers. According to Shawn Porter (SPC, BME), the ‘80s spawned companies like Pleasurable Piercing, Toucan (for gold), Wildcat in the UK, and Silver Anchor (formerly Spain’s Custom).
In the late ‘80s, John Donoghue founded Wildcat, a wholesale manufacturer out of Brighton, UK. During the ‘90s they were the largest supplier of body piercing jewelry in Europe.
In 1990, Josh Warner also brought us Good Art and their whimsical, sometimes over the top advertising. In 2002, they rolled out what was to be their fine jewelry line. By 2005, they rebranded themselves as Good Art HLYWD and ceased production of body jewelry.
Some of the manufacturers originating in the ‘90s have become staples for current piercings today. In 1991, Anatometal, Body Circle, and Industrial Strength were founded. 1991 also brought about “implant grade” materials from Anatometal and Industrial Strength, as well as countersunk ends on barbells.
Unfortunately, the ‘90s also brought us a proliferation of body jewelry from Asia and the birth of the “cheap piercing”.
In 1993 Venus by Maria Tash was brought into the mix. Originally only making steel and niobium captives, she moved on to gold designs in 1994.
In 1995 LeRoi opened its doors in upstate New York and Body Vision Los Angeles in, of course, Los Angeles, California.
1997 brought us two companies, Intrinsic Precision and NeoMetal. Intrinsic was opened in San Francisco, California and has been the sleeper of the body jewelry world. Putting out high quality jewelry, they have flown under the radar until recently. Now they are sought after with a long list of piercers waiting for the opportunity to buy their products. NeoMetal, a small company from Concord, California, created something that would eventually stand the piercing community on its proverbial ear: threadless jewelry. In February 2004 they moved to Washington and the threadless movement continued to grow and thrive.
In 1998 Glasswear Studios opened in Ashland, Oregon offering high quality glass jewelry.
1999 brought us Steel Skin, fusing implant grade steel and titanium with dental acrylic ends. In February 2007 Steel Skin was sold and moved to Louisville, Kentucky. They eventually closed in 2010.
In 2002 Gorilla Glass opened in Oaxaca, Mexico fusing traditional and modern designs in glass and obsidian.
While this is by no means a complete timeline of body jewelry manufacturers, it does however highlight, in my opinion, the top (American) companies that made significant contributions to the body piercing world. While I know this list could be MUCH longer, I chose to focus on the companies that produce(d) jewelry for initial piercings.
Authors note: I would like to thank Barry Blanchard, JD Lorenz, Josh Warner, Maria Tash, Sue from Neometal and Wickert Beasley for their prompt responses to my questions on dates. Also I would like to thank the rest of the companies that put a timeline on their websites that made my list much easier to compose.
Point 73: Count All The Things – Christina Shull
Christina Shull
Owner of Integrity Piercing
One of my favorite parts about December is counting every little piece of jewelry in my studio for end of year inventory. For most people, that line was read in a sarcastic tone. In my case, it is true and should have been ended with an exclamation point and been followed with a smiley face. While this article will probably not have any effect on the enthusiasm you may or may not have while counting your jewelry, I do hope to share some tips that could make the experience a little smoother and hopefully more pleasant for you.
I would love to address why end of year inventory is so important and the impact it has on your financial statements and taxation. You are spared from that info in this particular article. It would be a very long article otherwise, maybe even a small book, and I do not want to bore you to death if you are not a current or future business owner. If you are interested in learning more about the administrative aspect of piercing, stay tuned in January for the debut of my blog “The Business of Piercing” which will be filled with plenty of information on the business side of the industry: taxes, accounting, employee relations, legalities, financial statements, and all the aspects that go into keeping your business profitable and compliant with local, state, and federal regulations. For now, let’s delve into how to make your end of year inventory count as smooth as possible.
There are many reasons for needing an accurate count of your inventory, with the most relatable reason being that none of us want to pay more taxes than we absolutely have to. An accurate count can significantly reduce the chance that you will overpay for taxes related to jewelry investments. Shrinkage, or losses, which can happen in our industry fairly easily: jewelry being dropped on the floor and rolling into the abyss, small parts easily end up in the sink drain of the processing room (along with almost every threaded or pin taper you once had), and the often overlooked comp jewelry that a client received as a nocharge upsize/downsize/“oops, the piercer grabbed the wrong size/ color/etc.” An accurate inventory count at the end of the year allows you to properly determine your Cost of Goods Sold (COGS), which directly affects the amount of tax you will pay.
Planning your end of year inventory count is the best way to minimize stress and increase accuracy. Inform your staff members in advance about inventory planning and give them clear and specific instructions, preferably in writing. During your planning, consider the following:
When will the count be done? Ideally, inventory counting will be done when the studio is closed, or at least during a day when business is expected to be slow. I personally opt to perform the count on a day my studio is closed. It is worth it to me to pay a little bit of overtime in return for a count that is done in a shorter period of time and is more accurate when there are no interruptions from clients or vendors.
Who will be counting the jewelry and what will they be counting? In my two person studio, we split the responsibility pretty much down the middle. My staff member counts and records the jewelry in the front of the studio – everything in the display cases and the bead totes used to store backstock jewelry. I count and record the jewelry in the piercing room, clean room, and any potential defective jewelry that has not been replaced yet.
It is uncommon to have jewelry that should be excluded from the inventory count, but there are a few situations where it can happen. Those situations should be explained in advance. For example, the majority of the jewelry I have on display are items that I would sell if needed, such as jewelry in “body bits” that is switched out periodically or a threaded end that I would sell if it was the last in stock of its color, size, style, etc. However, my anodized captive display has the rings stabilized with glue inside of a shadow box. Upon assembly of that display, I knew the rings would never be sold in the future and they were re-categorized from Jewelry and Aftercare (COGS) to Displays and Decorations (Expense). Another studio I worked at years ago had jewelry on display that was not going to be sold – discontinued “collectors’ items” and antiques. Those items needed to be excluded from the jewelry inventory because they were not items for resale.
What can you do to prepare? Pre-counting preparation can make the inventory count go smoother. The day before the count, make sure that jewelry is organized and items are in their designated places. If you have recently received a jewelry order, have all jewelry checked in, processed, and put away. Every studio seems to have a place, if not many places where jewelry just ends up; a special cup or drawer can be found in almost any room that often contains random beads, balls, and o-rings. Defective jewelry has a habit of ending up in a variety of different locations. Check for all of these miscellaneous pieces of jewelry and put it all away where it belongs.
How will the count be recorded? If you have a Point of Sale system, you may have inventory worksheets available that are ready to print and go. I just recently discovered that QuickBooks has printable inventory sheets that I am very excited to use this year! (Reports>Inventory>Physical Inventory Worksheet, for those who are interested). If your POS program does not have dedicated inventory sheets or if you choose not to use them, you can print an item list and use that to record your count. Many studios use the same inventory sheets that they would when counting stock items before placing an order. Blank paper can work as well, although the less detailed the documentation system, the easier it can be to overlook or miscount items.
Marking items that have already been counted is important. Keeping track of what has and has not been counted is not as simple as it may seem. For example, I have multiple threaded end options in one display frame and when following inventory sheets, they are far apart alphabetically on the sheet. In this case, I have used something to mark the rows or particular items that have already been counted; masking tape or little strips of post-it notes have both worked well for me. Sometimes I have drawn a quick diagram of the display and what is in it, crossing off pieces as they are counted. It may be easier for you to remove the jewelry from the displays entirely and replace them later. This provides a perfect opportunity to refresh displays for the new year. The important part is finding a method that will easily communicate to all staff members what has already been taken care of.
Double counting is suggested to ensure accuracy and this is when having a POS definitely comes in handy. I consider my POS stock numbers to be fairly close to accurate, with a physical count done to confirm. If the physical count matches the amount in the POS, I consider the single physical count to be fine. If the physical count does not match the amount in the POS, I double and sometimes triple or even quadruple check the physical count before I alter the amount in the POS. Double-checking is crucial when we have large quantities of small items that can be found in many locations. For example, 14g 2mm threaded flowers in my studio can be found in numerous places: a frame that has the more decorative 14g threaded options, in a few display body bits, in the middle of an assembled industrial barbell, on the top of some displayed navel curves, in one of the bead totes for backstock items at the front counter, and with flower navel curve posts in the piercing room. With 6 different places to find one particular item, it can be easy to miscount.
Employees need to be aware of what is counted separately versus together. You need to have consistency between how an item is entered into the POS or otherwise introduced into inventory and how it is counted. For instance, if a double gemmed navel curve was entered into the POS with the top gem and gemmed post being received as a single item, staff members need to consider both components when counting inventory. If there is a gem curved post without a top (usually because individual gems were out of stock when one was needed), this needs to be documented. Failure to document this would result in an assumption of the whole piece, which would lead to a lower COGS and result in paying tax on an asset you do not actually have.
Once you have completed your end of year inventory and extracted the information that you need for filing your taxes, don’t toss the inventory sheets! End of year inventory counts will serve as helpful tools for a variety of things including documentation of the actual inventory count (really useful if you are unlucky enough to be audited), your starting inventory amount for the next year (which you will use along with your next end of year inventory and purchase receipts to determine your COGS next year), and is very helpful when making adjustments to desired inventory stock numbers.
Now is a good time to start preparing for your year end inventory count. Create or update existing inventory sheets, draft a protocol for inventory counting, pick a day and time for the count and schedule some staff members specifically for this project, research additional tips and tricks to make your inventory count smoother. Most importantly, if you don’t want to pay more taxes than you absolutely have to, start getting your inventory numbers down in the next couple of weeks, which helps get your COGS amount up!
Point 73: Portfolio Photography: Tips & Tricks – Marina Pecorino
Marina Pecorino
Managing Editor of Content & Statistics
In the grand scheme, our industry is young, but in reference to how we display our portfolios there has been quite a bit of progress throughout our short history. During the inception of the modern piercing movement, piercers displayed their work selectively in printed photographs, which resulted in a lag between when a piercing was performed and when it was available to showcase. The range of viewing audience was also much smaller as a result of this medium and its reliance on a physical print.
As the internet became more accessible, shops were able to use websites to display their collective works. Websites like BMEzine came into being, allowing piercers to reach a broader audience, beyond the bounds of geography. However, until digital photography became affordable and readily available, this medium was still limited by the lag and expense of developing film and scanning photographs.
Modern digital photography has reached a level where decent digital cameras are built into every smartphone, and standalone digital cameras are widely available. Social media allows us to quickly reach an audience around the world. We hold these sophisticated marketing tools in our pockets, purses, and fanny packs every day, but do we know how to implement them to their fullest potential?
This will be a two part instructional article to help you make the most of these tools. In this first edition, I’ll touch on some tricks and tips for shooting portfolio photographs. In Issue 74, I’ll explain some ways to make sure those photographs have as broad a reach as possible, using the tools allowed through current social media and search engine optimization.
And now on to the good stuff! I hope that you find these quick techniques and tricks useful in displaying your work to the world.
• Variety—Don’t get drawn into only taking photographs of your favorite types of piercings or jewelry styles. Strive to show the full range of options available within your studio and the diversity of your clientele. Showing a mix of gender, race, age, and style helps make your portfolio relatable to a broader range of your clients and allows your potential client an opportunity to visualize themselves and their new or upgraded adornment within your portfolio.
• Composition—Your photograph is intended to display your superb piercing technique and the incredible, high polished jewelry you’ve used, so make sure that these are the main focal point. Frame collages have become popular and allow you to show the piercing from multiple angles. These are a great way to show a close up and distant view (with a smiling, happy client, maybe?), and can be especially useful in displaying symmetrically paired piercings.
• Distance and Zoom—When zooming in on your subject within your digital camera, image quality loss is irreversible. Therefore you should avoid using the digital zoom, which may leave your image looking pixelated and distorted. It is far better to take a step or three closer to your client to take advantage of the natural optics of the lens. If necessary, crop the image after the fact to get rid of extraneous or distracting aspects or achieve a closer view. That being said, be careful not to get “too close”. This can make the viewer feel uncomfortable and the piercing will lose some of its impact without the rest of the anatomy as a frame of reference.
• Focus—If a photograph is out of focus, avoid using it, regardless of how in love with it you may be. An out of focus image will not tell the viewer much about the health of a piercing or quality of the jewelry used. Using a shallow depth of field (choose a large aperture close to f/2.8, for the photography geeks in our midst) to blur the background can be useful if you’re shooting photographs in a visually busy environment. If you forgot to use this setting while taking the photograph, post-processing software like Photoshop, Lightroom, Affinity, Exposure, or photography apps on your smartphone can accomplish this after the fact as well. If you have the option, try using a minimalistic or subtle background, but still aim for some color and texture when possible.
• Lighting—If you have the environment available to take portfolio photographs outside or close to a window, choose a spot that is well-lit by indirect sunlight. Unrestrained direct sunlight can cause harsh shadows and loss of detail in highlights. If you’re shooting in a windowless room, positioning multiple light sources with natural spectrum light bulbs can simulate indirect sunlight. If you’re shooting with a DSLR, using a bounce flash directed at a white wall behind you can help evenly illuminate your client and their beautiful jewelry. Regardless of your lighting, watch out for unintentional shadows near eyes, noses, and chins.
• Color Balance—Using natural spectrum lighting is a great start to provide the truest colors for jewelry and the healthiest skin tones for your clients, but color correction can be done in post-production with most photography processing software and apps, like the ones mentioned earlier. Be careful about color balance; aim to make your whites as true as possible. Photographs with a greenish or yellowish hue may cause your client to look sickly. A reddish hue may cause your client to look flushed. If your camera has an option for white balance, set it appropriately based on your environment or take multiple photos with the white balance set a few different ways.
• Quality of Work—Avoid including angry, bloody, or otherwise unappealing piercings; happily healed piercings should make up the vast majority of your portfolio. If you are not pleased with the angle or placement, or if the perspective of the photo makes it look like something is wonky, choose a different photo or piercing. Your portfolio does not need to include every piercing you’ve performed or every photograph you’ve taken. It should be a selection of your very best work and it should show that the piercings you perform will heal well and elegantly accentuate the anatomy that surrounds them.
