Piercing 101: Microdermals
Thinking about a dermal piercing? If you’re looking for something unique, a dermal might be the perfect choice. In this post, we’ll break down what exactly they are and how they work!
How a Dermal Piercing Looks
They have no defined entry or exit point, so they look like a small stud or gem sitting flat on your skin's surface. These unique body jewelry pieces can be placed almost anywhere (with some exceptions), and our expert piercers carefully perform each placement for both safety and style. Popular choices include the face, neck, chest, and back.
What They Are
A dermal is two pieces.
- A base: the part that goes under your skin. This is called a dermal anchor. The anchor typically has holes that your tissue will grow through, stabilizing it and keeping it in place.
- A top: that’s the visible part. Once the anchor is secure under your skin, the top gets screwed onto it.

How a Dermal Piercing is Done
When you’re getting a dermal, the piercer will use either a dermal punch or a needle to create a small pocket in your skin. In that pocket, they'll insert the dermal anchor, and then the top gets screwed onto it.
Jewelry Options
Jewelry-wise, you’ve got tons of options. You can opt for a minimalist look with a small disc or crystal. But you can also choose from other designs like stars, spikes, or hearts. You can easily switch the tops out once the piercing is healed, allowing you to change it to match your style, mood, or outfit. Just make sure you’re using jewelry made from implant-grade materials to avoid irritation or allergic reactions.

How Dermal Piercings are Removed
If you don’t want to see it, it’s as easy as removing the top. But if you need the dermal base fully removed (say for an MRI or a surgery), you will need to see a professional piercer or medical provider. Since the anchor is implanted beneath your skin, it’s not something you can take out yourself. Once removed, the small hole will close on its own. Some scarring is common, especially if the dermal was rejected or removed due to irritation or trauma, but in most cases, the scar is minimal and fairly flat. If you want another dermal in the same spot, you’ll need to wait until the skin is fully healed, or choose a different location to avoid complications.
Is a Dermal the Right Choice for You?
If you're seriously considering a microdermal, be ready for the aftercare. These piercings require consistent cleaning and patience. Follow your piercer's aftercare instructions closely to minimize the risk of rejection or infection. One important thing is that you’ll need to avoid snagging the jewelry on clothing or towels.
A microdermal isn’t for everyone, but if you’re looking for something that will stand out, it might be exactly what you’re looking for.
Frequently Asked Questions
1. How do dermal piercings stay under the skin?
Dermal piercings stay in place because a small anchor is inserted just beneath the skin. The jewelry top screws into that anchor, and the surrounding tissue helps hold it steady as it heals.
2. Are dermal piercings permanent?
No, dermal piercings are not truly permanent. They can last a long time, but they may eventually need to be removed or come out naturally if the body rejects them.
3. Do dermal piercings hurt?
Most people describe dermal piercings as quick but uncomfortable rather than extremely painful. Pain tolerance, placement, and technique all affect how it feels.
4. Can dermal piercings reject?
Yes, dermal piercings can reject. Because they sit under the skin without a full channel through the body, they are more likely than some other piercings to shift, migrate, or be pushed out over time.
5. How do I know if my dermal piercing is rejecting?
Common signs include the anchor becoming more visible, the jewelry no longer sitting flush to the surface of the skin, redness that keeps returning, thinning skin, and the piercing slowly moving from its original spot. If these changes happen, it’s best to have it checked by a professional piercer.
6. What’s the difference between a dermal and a surface bar piercing?
A dermal piercing has a single anchor under the skin with one visible jewelry top. A surface bar piercing uses a piece of jewelry that sits under the skin at both ends, which makes the structure and healing process different. (making this specification because a dermal is technically a surface piercing)
7. How long do dermal piercings take to heal?
Healing time varies, but many dermal piercings take about 6 months to heal enough for the tissue to settle. Healing times can vary can take longer depending on placement, aftercare, and how your body responds.
8. How should I clean a new dermal piercing?
Clean it gently with sterile saline and avoid over-cleaning, twisting, or moving the jewelry. It’s also important to keep the area dry, avoid harsh products, and follow your piercer’s aftercare instructions closely.
9. What should I do if I snag my dermal piercing?
If you snag it, rinse the area with saline, avoid touching it, and watch for swelling, bleeding, or persistent pain. If the jewelry shifts, the skin tears, or the area looks irritated for more than a short time, get it assessed by a piercer.
10. How are dermal piercings removed?
Dermal piercings are usually removed by a professional piercer or medical provider using a controlled removal method. Trying to remove one at home can increase the risk of scarring, tissue damage, and infection.
11. Do dermal piercings leave scars?
They can leave a small scar, especially if the piercing was rejected, removed after a long time, or irritated during healing. Proper placement, careful aftercare, and professional removal can help reduce the chance of visible scarring.
12. Can I change the jewelry top on my dermal piercing?
Yes, the top can usually be changed, but it’s best to wait until the piercing has healed and have it done professionally. Changing it too early or doing it yourself can irritate the piercing or increase the risk of rejection.