Dermal piercings are one of the most distinctive forms of body modification today. With no visible entry and exit points, they allow jewelry to sit flat against the skin almost anywhere on the body. But here’s what most people don’t realize: the real magic isn’t just in the piercing technique—it’s in the dermal piercing jewelry you choose.
The quality, style, material, and fit of your dermal jewelry can make or break the piercing experience. Poor choices lead to irritation, rejection, or flat-out discomfort. Smart ones lead to long-lasting, beautiful results. In this guide, we’ll break down the entire process of understanding and choosing dermal piercing jewelry so you can wear your style with confidence.
Looking for professional insight? At Mantra Tattoo and Piercing in Denver, we offer upscale, expert piercing services in a clean, welcoming environment for all ages. Whether you’re new to dermals or ready to upgrade your look, we’re here to help.
What Is Dermal Piercing Jewelry?
Dermal piercing jewelry refers to a two-part system: an anchor that sits beneath the skin, and a top that is visible on the surface. Unlike traditional piercings that pass straight through tissue, dermals are single-point piercings held in place by a flat plate inserted just under the skin.
Dermal vs. Traditional Piercings
Traditional piercings like nose or ear piercings pass through the skin from one side to the other. Dermal piercings, on the other hand, are implanted into the skin, creating a flush, embedded look. They allow for placement in unique areas like cheeks, collarbones, or even hands.
How Dermals Are Anchored Under the Skin
A professional piercer will use a dermal punch or needle to create a small pocket under the skin. The anchor, made from high-quality materials, is then inserted into this space. The top is screwed or pressed into the anchor to finish the piercing. Placement must be precise to reduce risks of migration or rejection.
Common Placement Areas for Jewelry Dermal Piercing
Popular spots for jewelry dermal piercing include collarbones, sternum, cheeks, nape of the neck, and hips. Surface areas with low movement and minimal impact are ideal. Your piercer will advise the best placements based on your anatomy and daily habits.
Types of Dermal Piercing Jewelry
Anchors vs. Tops Explained
The anchor is the part that sits below the skin. It may be footed (with holes to encourage tissue growth) or a flat disc. The top is the visible part that screws into the anchor and comes in a wide range of styles and materials.
Materials: Titanium, Steel, Bioplast, and Gold Dermal Piercing Jewelry
Material matters. Titanium is hypoallergenic and ideal for sensitive skin. Surgical steel is common, though less ideal for those with allergies. Bioplast offers flexibility and reduces pressure on healing tissue. For a luxe look, gold dermal piercing jewelry is a great option—just make sure it’s solid 14k or 18k gold to avoid plating issues.
Dermal Jewelry Tops: From Flat Discs to Crystals and Shapes
Dermal jewelry tops range from understated flat discs to bold, gem-encrusted designs. You can also find tops in the form of spikes, stars, or logos. Some clients even opt for custom pieces. Choosing the right top isn’t just about aesthetics—shape and profile can impact healing and snag risk.
At Mantra Tattoo and Piercing, we carry a curated collection of high-quality dermal jewelry, including titanium, surgical steel, Bioplast, and solid gold options. Clients can browse and purchase jewelry in-studio, with our expert team on hand to guide your selection.
Choosing the Right Dermal Piercing Jewelry Tops for Your Style
Minimalist vs. Statement Looks
Do you prefer clean and sleek, or bold and expressive? Minimalist styles use matte finishes, small gems, or flat tops. Statement lovers can opt for textured, colorful, or elevated shapes. Consider your lifestyle and wardrobe when choosing between subtle and standout.
Options for Face Dermal Piercing Jewelry
Face dermal piercing jewelry requires careful top selection. Because the face is high-visibility and prone to movement, lower-profile tops work best to avoid irritation. Choose something lightweight, smooth, and snug-fitting for cheeks, eyebrows, or temple placements.
Dermal Piercing Jewelry for Men and Inclusive Styles
There are no gender rules when it comes to dermals. However, dermal piercing jewelry men tend to favor matte black, gunmetal, or minimalist shapes like discs or square gems. Inclusive studios like Mantra Tattoo and Piercing carry styles for everyone, regardless of gender identity or expression.
Healing, Aftercare, and How to Prevent Complications
Dermal Piercing Healing Timeline
Dermals take 1 to 3 months to heal depending on location and proper aftercare. Areas with less movement heal faster. During healing, it’s critical to avoid snagging, pressure, or harsh skincare around the site.
Best Cleaning Practices for Long-Term Health
Clean your dermal using a sterile saline solution 2-3 times per day. Avoid alcohol, peroxide, or ointments, as they can disrupt healing. Do not rotate or twist the jewelry top. Let your skin do the work while you maintain cleanliness.
Signs of Rejection and When to Seek Help
If your skin becomes red, raised, or the anchor starts surfacing, it could be a sign of rejection. Do not attempt to remove the jewelry yourself. Professional studios like Mantra Tattoo offer safe consultations and removals to minimize scarring.
Myth: “Dermals Always Reject” — The Real Story
This myth stems from poor technique or low-quality jewelry. With the right piercer and materials, dermals can last for years. Choose implant-grade metal, proper placement, and expert care to dramatically reduce your risk.
Can You Change Out Dermal Jewelry?
When It’s Safe to Swap Jewelry Tops
Only change your dermal top jewelry once the piercing is fully healed. For most, that’s about 3 months. Swapping too early can lead to irritation or infection. Always check with your piercer before changing tops.
Tools and Safety for Changing Dermal Top Jewelry
Some dermal tops require special tools to unscrew. Using fingers or pliers can cause injury. If you’re unsure, visit a piercing professional. They can change the top quickly and safely.
When to See a Professional for Help
If your top is stuck, painful to touch, or looks misaligned, don’t force it. Studios like Mantra Tattoo and Piercing can help with removal, replacement, and even matching new tops to your existing anchor.
How to Select High-Quality Dermal Jewelry for Long-Term Comfort
Sizing and Threading (Internal vs. External Threads)
Threading matters. Internal-thread jewelry has the threading on the inside of the post, making it smoother and less damaging to skin. External-thread jewelry is cheaper but can cause microtears during installation. Always opt for internal-thread dermals.
Dermal Piercing Rings vs. Flat Tops
A dermal piercing ring typically refers to a curved or looped top, not a ring through skin. Flat tops offer security and reduced snagging. Rings may be more decorative but increase the risk of irritation.
Tips for Sensitive Skin and Active Lifestyles
If you have sensitive skin, choose titanium or Bioplast. If you live an active lifestyle, stick with flush-fitting tops that won’t catch on clothing or gear. Let your piercer know your routines—they can recommend the safest options.
Myth: “You Can’t Wear Dermals on Your Hands or Face” — Yes, You Can
Hand and face dermals are completely possible with proper jewelry and expert placement. These high-impact zones require flatter, more durable tops and experienced piercers who understand anatomy. Mantra’s team specializes in both.
FAQs About Dermal Piercing Jewelry
Do you help with dermal top changes or removals at your studio?
Yes! We offer safe, sanitary top swaps and removals using sterile tools and gentle techniques.
Do you offer dermal jewelry for kids or people with sensitive skin?
While dermals are typically suited for adults and teens, we offer hypoallergenic and flexible jewelry options for sensitive skin. Consultations help determine if dermals are right for you or your child. Book an appointment so we can better understand your needs.
What kind of dermal tops are safe for school or work?
Low-profile, neutral-tone tops like flat discs or clear gems are ideal for professional or academic environments. They’re discreet and unlikely to snag.
Is there a difference between dermal jewelry for men and women?
Not really. The difference lies in personal style, not in the hardware. We stock a wide range of dermal jewlery for all tastes and identities.
Shop Professional-Grade Dermal Piercing Jewelry at Our Studio
At Mantra Tattoo and Piercing, we combine artistry, expertise, and top-tier materials to help you find the perfect dermal jewelry fit. Whether you’re refreshing an existing dermal or getting pierced for the first time, our team provides clean, expert service and style guidance.
Stop by to explore our full range of dermal jewelry tops, anchors, and custom options. We proudly stock our own line of premium dermal piercing jewelry, carefully chosen for safety, comfort, and style. Whether you need a new top or a full setup, our in-house selection is available to try and buy. Your next favorite look is waiting for you.