Choosing appropriate earrings

Implant-grade titanium is often a good choice for a new piercing, particularly if you are sensitive to nickel. Verified composition, a smooth finish and appropriate jewellery design also matter. Steel labelled “surgical” may contain nickel, so the label alone does not establish suitability. An individual assessment helps identify jewellery suited to your skin and the piercing site.

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Itching can result from nickel sensitivity, friction, excessive pressure or an irritating product. Itching alone does not confirm an allergy or an infection. With a new piercing, have the jewellery material and fit assessed rather than changing it yourself. Persistent or worsening symptoms may need medical assessment, and suspected metal allergy may warrant further testing.

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A simple stud is often preferable for a new earlobe piercing because it generally moves and catches less than a hoop. The right choice still depends on your anatomy and the piercing site. Heavy or dangling jewellery should be avoided during healing. An assessment helps select a design and dimensions that limit pulling without compressing the tissue.

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The post should allow room for initial swelling without being unnecessarily long. A post that is too short can compress tissue, while an overly long one can catch and irritate the piercing. Length is selected according to your anatomy. Once swelling subsides, a follow-up assessment can determine whether a qualified professional should fit a shorter post.

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A properly fitted flat-back design can help limit pressure points around a new piercing. No backing should be tightened against swollen tissue. Butterfly backs can trap debris and may become too tight, depending on their position. Reviewing the jewellery’s shape, post length and fit helps determine which backing is appropriate for your ear and piercing site.

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Solid 14- or 18-karat gold may be suitable if its alloy is free of nickel and cadmium and appropriate for an initial piercing. Karat alone does not establish suitability. Plated jewellery is best avoided during healing because the coating can wear away and expose the underlying metal. Have the composition and surface finish checked before choosing.

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Wait until the piercing has healed sufficiently and its condition has been checked before switching to decorative jewellery. Skin that looks normal on the surface does not mean the channel has healed internally. Timing varies with the piercing site and healing progress. Any necessary jewellery adjustment during healing should be handled by a qualified professional rather than attempted at home.

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Persistent pressure, a backing sinking into the skin or increasing pain can signal a fit problem or complication. Have the jewellery checked promptly without pushing it or trying to free an embedded part yourself. Spreading redness, marked warmth, pus or fever require prompt medical assessment. If infection is suspected, do not remove the jewellery without medical advice.

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