page_title: Body piercing
section_title: Piercing tools
hierarchical_section_title: Body piercing / Contemporary piercing practices / Piercing tools
context_page_description: Body piercing, which is a form of body modification, is the practice of puncturing or cutting a part of the human body, creating an opening in which jewelry may be worn, or where an implant could be inserted. The word piercing can refer to the act or practice of body piercing, or to an opening in the body created by this act or practice. It can also, by metonymy, refer to the resulting decoration, or to the decorative jewelry used. Contrary to popular belief, that piercing is related to visual jewelry only, piercing implants alter body and/or skin profile and appearance. Although the history of body piercing is obscured by popular misinformation and by a lack of scholarly reference, ample evidence exists to document that it has been practiced in various forms by both sexes since ancient times throughout the world.
  Ear piercing and nose piercing have been particularly widespread and are well represented in historical records and among grave goods. The oldest mummified remains ever discovered were sporting earrings, attesting to the existence of the practice more than 5,000 years ago. Nose piercing is documented as far back as 1500 BC.
context_section_description: Permanent body piercings are performed by creating an opening in the body using a sharp object through the area to be pierced. This can either be done by puncturing an opening using a needle (usually a hollow medical needle) or scalpel or by removing tissue, either with a dermal punch or through scalpelling.
  Tools used in body piercing include:
  The piercing needle
  The standard method in the United States involves making an opening using a beveled-tip hollow medical needle, which is available in different lengths, gauges and even shapes. While straight needles are useful for many body parts, curved needles are manufactured for areas where straight needles are not ideal. The needle selected is typically the same gauge (or sometimes larger as with cartilage piercings) as the initial jewellery to be worn, with higher gauges indicating thinner needles. The needle is inserted into the body part being pierced, frequently by hand but sometimes with the aid of a needle holder or pusher. While the needle is still in the body, the initial jewellery to be worn in the piercing is pushed through the opening, following the back of the needle. Jewellery is often inserted into the hollow end of a needle, so that as the needle pulls through the jewellery is left behind.
  The indwelling cannula
  Outside of the United States, many piercers use a needle containing a cannula (or catheter), a hollow plastic tube placed at the end of the needle. In some countries, the piercing needle favoured in the United States is regarded as a medical device and is illegal for body piercers. The procedure is similar to the piercing needle method, but the initial jewellery is inserted into the back of the cannula and the cannula and the jewellery are then pulled through the piercing. More bleeding may follow, as the piercing is larger than the jewellery.
  The dermal punch
  A dermal punch is used to remove a circular area of tissue, into which jewellery is placed, and may be useful for larger cartilage piercings. They are popular for use in ears, though not legal for use by nonmedical personnel in some parts of the United States.
  The piercing gun
  The vast majority of women in the west have their ears pierced with a piercing gun. The safety of piercing guns, which were originally developed for tagging livestock, has been disputed. The Department of Health of Western Australia does not recommend their use for piercing body parts other than the lobes of ears, and the Association of Professional Piercers recommends that piercing guns not be used for any piercing, requiring members to agree not to use piercing guns in their practice.
  Cork
  Cork may be placed on the opposite side of the body part being pierced to receive the needle.
  Forceps
  Forceps, or clamps, may be used to hold and stabilize the tissue to be pierced. Most piercings that are stabilized with forceps use the triangular-headed "Pennington" forcep, while tongues are usually stabilized with an oval-headed forcep. Most forceps have large enough openings in their jaws to permit the needle and jewellery to pass directly through, though some slotted forceps are designed with a removable segment instead for removal after the piercing. Forceps are not used in the freehand method, in which the piercer supports the tissue by hand.
  Needle receiving tubes
  A hollow tube made of metal, shatter-resistant glass or plastic, needle receiving tubes, like forceps, are used to support the tissue at the piercing site and are common in septum and some cartilage piercings. Not only are these tubes intended to support the tissue, but they also receive the needle once it has passed through the tissue, offering protection from the sharp point. Needle receiving tubes are not used in the freehand piercing method.
  Anaesthesia
  Anaesthesia is supplied by some piercers, particularly in the United Kingdom and Europe. The anaesthesia may be topical or injected. Piercers and other non-medical personnel are not legally permitted to administer anaesthetics in the United States.
caption: Piercing guns like this one with its plastic, non-autoclavable handle, are not professionally favored or recommended, even for ears.[99][100][101]
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