Use one or both of the following solutions for healing piercings:
Packaged sterile saline solution with no additives (read the label), or a non-iodized sea salt mixture: Dissolve 1/4 teaspoon of non-iodized (iodine-free) sea salt into one cup (8ox) of warm distilled or bottled water. A stronger mixture is not better; a saline solution that is too strong can irritate the piercing.
A mild, fragrance-free liquid soap-preferably anti-microbial or germicidal.
Cleaning Instructions for Body Piercing
WASH your hands thoroughly prior to cleaning or touching your piercing for any reason.
SALINE soak for five to ten minutes once or more per day. Invert a cup of warm saline solution over the area to form a vacuum. For certain piercings it may be easier to apply using clean gauze or paper towels saturated with saline solution. A brief rinse afterward will remove any residue.
SOAP no more than once or twice a day. While showering, lather up a pearl size drop of the soap to clean the jewelry and the piercing. Leave the cleanser on the piercing no more than thirty seconds, then rinse thoroughly to remove all traces of the soap from the piercing. It is not necessary to rotate the jewelry through the piercing.
DRY by gently patting with clean, disposable paper products. Cloth towels can harbor bacteria and snag on jewelry, causing injury.
What is Normal?
Initially: some bleeding, localized swelling, tenderness, or bruising.
During healing: some discoloration, itching, secretion of a whitish-yellow fluid (not pus) that will form some crust on the jewelry. The tissue may tighten around the jewelry as it heals.
Once healed: the jewelry may not move freely in the piercing; do not force it. If you fail to include cleaning your piercing as part of your daily hygiene routine, normal but smelly bodily secretions may accumulate.
A piercing may seem healed before the healing process is complete. This is because they heal from the outside in, and although it feels fine, the tissue remains fragile on the inside. Be patient, and keep cleaning throughout the entire healing period.
Even healed piercings can shrink or close in minutes after having been there for years! This varies from person to person; if you like your piercing, keep jewelry in-do not leave it empty.
What to Do
Wash your hands prior to touching the piercing; leave it alone except when cleaning. During healing, it is not necessary to rotate your jewelry.
Stay healthy; the healthier your lifestyle, the easier it will be for your piercing to heal. Get enough sleep and eat a nutritious diet. Exercise during healing is fine; listen to your body.
Make sure your bedding is washed and changed regularly. Wear clean, comfortable, breathable clothing that protects your piercing while you are sleeping.
Showers tend to be safer than taking baths, as bathtubs can harbor bacteria. If you bathe in a tub, clean it well before each use and rinse off your piercing when you get out.
What to Avoid
Avoid cleaning with Betadine®, Hibiciens®, alcohol, hydrogen peroxide, Dial® or other harsh soaps, as these can damage cells. Also avoid ointments as they prevent necessary air circulation.
Avoid Bactine®, pierced ear care solutions and other products containing Benzalkonium Chloride (BZK) and Benzethonium Chloride (BZT). These can be irritating and are not intended for long term wound care.
Avoid over-cleaning. This can delay your healing and irritate your piercing.
Avoid undue trauma such as friction from clothing, excessive motion of the area, playing with the jewelry, and vigorous cleaning. These activities can cause the formation of unsightly and uncomfortable scar tissue, migration, prolonged healing, and other complications.
Avoid all oral contact, rough play, and contact with others’ bodily fluids on or near your piercing during healing.
Avoid stress and recreational drug use, including excessive caffeine, nicotine, and alcohol.
Avoid submerging the piercing in unhygienic bodies of water such as lakes, pools, hot tubs, etc. Or, protects your piercing using a waterproof wound-sealant bandage (such as TegadermTM). These are available at most drugstores.
Avoid all beauty and personal care products on or around the piercing including cosmetics, lotions, and sprays, etc.
Don’t hang charms or any object from your jewelry until the piercing is fully healed.
For inside the mouth:
Antimicrobial or antibacterial alcohol-free mouth rinse
Packaged sterile saline solution* with no additives (read the label!) or non-iodized sea salt mixture: Dissolve 1/8 to 1/4 teaspoon of non-iodized (iodine free) sea salt into one cup (8 oz) of warm distilled or bottled water. A stronger mixture is not better! Saline solution that is too strong can irritate the piercing. (If you have high blood pressure or a heart condition, please check with your doctor before using a saline product inside the mouth as your primary cleaning solution.)
Oral Piercing Aftercare Guidelines
CLEANING INSTRUCTIONS FOR INSIDE THE MOUTH
Rinse mouth 4-5 times daily with cleaning solution for 30-60 seconds after meals and at bedtime during the entire healing period. If you over clean, it may cause discoloration or irritation of tongue.
CLEANING INSTRUCTIONS FOR THE EXTERIOR OF LABRET (CHEEK AND LIP) PIERCINGS
Soak in saline solution and/or wash with liquid antimicrobial or germicidal soap* as described below:
1) WASH your hands thoroughly prior to cleaning, or touching on or near your piercing for any reason.
2) SALINE soak at least two to three times daily. Simply soak directly in a cup of warm saline solution for a few minutes. The longer you soak, the better. For certain placements it may be easier to apply using fresh gauze or a cotton ball saturated with saline solution. A brief rinse will remove any residue.
3) SOAP no more than once or twice a day. While showering, lather up a pearl size drop of the soap to clean the jewelry and the piercing. Leave the cleanser on the piercing no more than thirty seconds, then rinse thoroughly to remove all traces of the soap from the piercing.
4) DRY with disposable paper products such as gauze or tissues, because cloth towels can harbor bacteria and catch on new piercings causing injury. Pat gently to avoid trauma.
WHAT IS NORMAL?
For the first three to five days: significant swelling, light bleeding, bruising, and/or tenderness.
After that: Some swelling, light secretion of a whitish yellow fluid (not pus).
A piercing may seem healed before healing is complete. This is because piercings heal from the outside in, and although it feels healed the tissue remains fragile on the inside. BE PATIENT, and Keep cleaning throughout the entire healing period.
Even healed piercings can shrink or close in minutes after having been there for years! This varies from person to person; if you like your piercing, leave the jewelry in place.
WHAT TO DO:
To help reduce swelling
Allow small pieces of ice to dissolve in the mouth.
Take an over the counter, non-steroidal anti-inflammatory such as Ibuprofen or Naproxyn Sodium* according to package instructions.
Sleep with your head elevated above your heart during the first few nights.
To maintain good oral hygiene
Use a new soft-bristled toothbrush and keep it clean.
Brush your teeth, and use your chosen rinse (saline or mouthwash) after every meal.
During healing floss daily, and gently brush your teeth, tongue and jewelry. Once healed, brush the jewelry more thoroughly to avoid plaque build up.
The healthier your lifestyle, the easier it will be for your piercing to heal.
Get enough sleep and eat a nutritious diet.
WHAT TO AVOID
DO NOT PLAY WITH THE JEWELRY. Long term effects of playing with, and clicking the jewelry against the teeth can result in permanent damage to teeth and other oral structures. See the APP’s Brochure: “Oral Piercing Risks and Safety Measures” for more information.
Avoid undue trauma; excessive talking or playing with the jewelry during healing can cause the formation of unsightly and uncomfortable scar tissue, migration, and other complications.
Avoid any mouthwash containing alcohol. It can irritate the area and delay healing.
Avoid oral sexual contact including French (wet) kissing or oral sex during healing (even with a long term partner).
Avoid chewing on gum, tobacco, fingernails, pencils, sunglasses, etc.
Avoid sharing plates, cups, and eating utensils.
Avoid smoking! It increases risks and lengthens healing time.
Avoid stress and all recreational drug use.
Avoid any aspirin or alcohol, and large amounts of caffeine.
Avoid submerging in bodies of water such as lakes, pools, etc.
ORAL PIERCING HINTS AND TIPS
Once the swelling has subsided, it is vital to replace the original, longer jewelry with a shorter post.
Consult your piercer for their downsize policy.
Because this necessary jewelry change may occur during healing, it should be done by a qualified piercer.
With clean hands or paper product, be sure to regularly check threaded ends on your jewelry for tightness (“Righty-tighty, lefty-loosey”).
Carry a clean spare ball in case of loss or breakage.
Contact your piercer if your jewelry must be temporarily removed (such as for a medical procedure). There are non-metallic jewelry alternatives.
Should you decide you no longer want the piercing, seek professional help in the removal of the jewelry and continue cleaning the piercing until the hole has closed. In most cases only a small indentation will remain.
In the event that an infection is suspected, quality jewelry or an inert alternative should be left in place to allow for drainage of the infection. Should the jewelry be removed, the surface cells can closeup sealing the infection inside the piercing channel, resulting in an abscess. Until such time an infection is cleared up, leave quality jewelry in!
Slowly eat small bites of food, placed directly onto the molars.
Avoid eating spicy, salty, acidic, or hot temperature foods or beverages for a few days.
Cold foods and beverage are soothing and help reduce swelling.
For tongue piercing, try to keep your tongue level in your mouth as you chew and swallow.
For labret (cheek and lip) piercings: Be cautious about opening your mouth too wide as this can result in the backing of the jewelry catching on the teeth.
Each body is unique and healing times vary considerably. If you have any questions, please contact your piercer.
Hints and Tips
Unless there is a problem with the size, style, or material of the initial jewelry, leave it in the place for the entire healing period. See a qualified piercer to perform any jewelry change that becomes necessary during healing. See the APP website to locate an APP member, or to request a copy of our Picking Your Piercer brochure.)
Contact your piercer if your jewelry must be removed (such as for a medical procedure). There are non-metallic jewelry alternatives available.
Leave jewelry in at all times. Even old or well-healed piercing can shrink or close in minutes even after having been there for years. If removed, re-insertion can be difficult or impossible.
With clean hands or paper product, be sure to regularly check threaded ends on your jewelry for tightness. (”Righty-tighty, lefty-loosey.”)
Carry a clean spare ball in case of loss or breakage.
Should you decide you no longer want the piercing, simply remove the jewelry (or have a professional piercer remove it) and continue cleaning the piercing until the hole closes. In most cases only a small mark will remain.
In the even an infection is suspected, quality jewelry or an inert alternative should be left in place to allow for drainage of the infection. If the jewelry is removed, the surface cells can close up, which can seal the infection inside the piercing channel and result in an abscess. Do not remove jewelry unless instructed to by a medical professional.
For Particular Areas
A hard, vented eye patch (sold at pharmacies) can be applied under tight clothing (such as nylon stockings) or secured using a length of Ace® bandage around the body (to avoid irritation from adhesive). This can protect the area from restrictive clothing, excess irritation, and impact during physical activities such as contact sports.
EAR/EAR CARTILAGE AND FACIAL:
Use the t-shirt trick: Dress your pillow in a large, clean t-shirt and turn it nightly; one clean t-shirt provides four clean surfaces for sleeping.
Maintain cleanliness of telephones, headphones, eyeglasses, helmets, hats, and anything that contacts the pierced area.
Use cation when styling your hair and advise your stylist of a new or healing piercing.
The support of a tight cotton shirt or sports bra may provide protection and feel comfortable, especially for sleeping.
Genital Piercings-especially Prince Alberts, Ampallangs, and Apadravyas, can bleed freely for the first few days. Be prepared.
Urinate after using soap to clean any piercing that is near the urethra.
Wash your hands before touching on (or near) a healing piercing.
In most cases you can engage in sexual activity as soon as you feel ready, but maintaining hygiene and avoiding trauma are vital; all sexual activities should be gentle during the healing period.
Use barriers such as condoms, dental dams, and waterproof bandages, etc. to avoid contact with your partners’ body fluids, even in monogamous relationships.
Use clean, disposable barriers on sex toys.
Use a new container of water-based lubricant; do not use saliva.
After sex, an additional saline soak or clean water rinse is suggested.
* DISCLAIMER: These guidelines are based on a combination of vast professional experience, common sense, research and extensive clinical practice. This is not to be considered a substitute for medical advice from a doctor. If you suspect an infection, seek medical attention. Be aware that many doctors have not received specific training regarding piercing. Your local piercer may be able to refer you to a piercing-friendly medical professional. For more information, see the APP Brochure Troubleshooting For You and Your Healthcare Professional.