We only pierce with new OM piercing jewelries. You will have options while taking into consideration your unique ear anatomy. All of OM jewelry is made of high-quality, implant-grade metals, titanium, 14k to 18k gold and use a flat-backed labrets.   We do not pierce with butterfly-back earrings as it is not safe for piercing or healing process. Our OM piercing jewelry is currently only available in-store or on our shop online at OM Store.