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WASH your hands thoroughly prior to cleaning or touching your piercing for any reason.

SALINE rinse as needed while healing. For certain piercings it may be easier to apply using clean gauze saturated with saline solution. Dr. Bronners tea tree castille soap is recommended, gently lather around the piercing and rinse as needed. Avoid using harsh soaps, or soaps with dyes or fragrances.

RINSE site as needed to remove cleaning solution residue. Moving or rotating jewelry is NOT necessary during cleaning or rinsing.

DRY by gently patting with clean, disposable paper products. Cloth towels can harbor bacteria and snag on jewelry causing injury.

WHAT IS NORMAL? • Initially: some bleeding, localized swelling, tenderness, and/or bruising. • During healing: some discoloration, itching, secretion of a whitish yellow fluid (not pus) that will form some crust on the jewelry. The tissue may tighten around the jewelry as it heals. • Once healed: the jewelry may not move freely in the piercing; do not force it. If you fail to include cleaning your piercing as part of your daily hygiene routine, normal but smelly bodily secretions may accumulate. • A piercing might seem healed before the healing process is complete. This is because tissue heals from the outside in, and although it feels fine, the interior remains fragile. Be patient, and keep cleaning throughout the entire initial healing period. • Even healed piercings that you have had for years can shrink or close in minutes! This varies from person to person; if you like your piercing, keep jewelry in—do not leave the hole empty.

WHAT TO DO • Wash your hands prior to touching the piercing; leave it alone except when cleaning. During healing it is not necessary to rotate your jewelry. • Exercise during healing is fine; listen to your body. • Make sure your bedding is washed and changed regularly. Wear clean, comfortable, breathable clothing that protects your piercing while you are sleeping. • Showers tend to be safer than taking baths, as bathtubs can harbor bacteria. If you bathe in a tub, clean it well before each use and rinse off your piercing when you get out.

WHAT TO AVOID • Avoid cleaning with alcohol, hydrogen peroxide, Dial® or other soaps containing triclosan,2 iodine, or any harsh products, as these can damage cells. Also avoid ointments as they prevent necessary air circulation. • Avoid Bactine®, pierced ear care solutions, and other products containing Benzalkonium Chloride (BZK). These can be irritating and are not intended for long-term wound care. • Avoid over-cleaning. This can delay your healing and irritate your piercing. • Avoid undue trauma such as friction from clothing, excessive motion of the area, playing with the jewelry, and vigorous cleaning. These activities can cause the formation of unsightly and uncomfortable scar tissue, migration, prolonged healing, and other complications. • Avoid all oral contact, rough play, and contact with others’ bodily fluids on or near your piercing during healing. • Avoid stress and recreational drug use, including excessive caffeine, nicotine, and alcohol. • Avoid submerging the piercing in unhygienic bodies of water such as lakes, pools, hot tubs, etc. Or, protect your piercing using a waterproof wound-sealant bandage (such as 3M™ Nexcare™ Clean Seals or Tegaderm). These are available at most drugstores. • Avoid all beauty and personal care products on or around the piercing including cosmetics, lotions, and sprays, etc. • Don’t hang charms or any object from your jewelry until the piercing is fully healed.


JEWELRY: • Unless there is a problem with the size, style, or material of the initial jewelry, leave it in the place for the entire healing period. See a qualified piercer to perform any jewelry change that becomes necessary during healing. • Contact your piercer for a non-metallic jewelry alternative if your metal jewelry must be temporarily removed (such as for a medical procedure). • Leave jewelry in at all times. Even healed piercings that you have had for years can shrink or close in minutes! If removed, reinsertion can be difficult or impossible. • With clean hands or paper product, be sure to regularly check threaded ends on your jewelry for tightness (“righty tighty, lefty-loosey”). • Should you decide you no longer want the piercing, simply remove the jewelry (or have a professional piercer remove it) and continue cleaning the piercing until the hole closes. In most cases only a small mark should remain. • In the event an infection is suspected, quality jewelry or an inert alternative should be left in place to allow for drainage of the infection. If the jewelry is removed, the surface cells can close up, which can seal the infection inside the piercing channel and result in an abscess. Until an infection is cleared up, leave in quality jewelry or an appropriate substitute.


NAVEL: • A hard, vented eye patch (sold at pharmacies) can be applied under tight clothing (such as nylon stockings) or secured using a length of elastic bandage around the body (to avoid irritation from adhesive). This can protect the area from restrictive clothing, excess irritation, and impact during physical activities such as contact sports.

EAR/EAR CARTILAGE AND FACIAL: • Use the t-shirt trick: Dress your pillow in a large, clean t-shirt and turn it nightly; one clean t-shirt provides four clean surfaces for sleeping. • Maintain cleanliness of phones, headphones, eyeglasses, helmets, hats, and anything that contacts the pierced area. • Use caution when styling your hair and advise your stylist of a new or healing piercing.

NIPPLE: • The support of a tight cotton shirt or sports bra may provide protection and feel comfortable, especially for sleeping.

GENITAL: • Genital Piercings—especially Triangles, Prince Alberts, Ampallangs, and Apadravyas—can bleed freely for the first few days. Be prepared. Additional cleaning after urination is not necessary. • Wash your hands before touching on (or near) a healing piercing. • In most cases you can engage in sexual activity as soon as you feel ready, but maintaining hygiene and avoiding trauma are vital; all sexual activities should be gentle during the healing period. • Use barriers such as condoms, dental dams, and waterproof bandages, etc. to avoid contact with your partners’ body fluids, even in long-term monogamous relationships. • Use clean, disposable barriers on sex toys. • Use a new container of water-based lubricant; do not use saliva. • After sex, an additional saline soak or clean water rinse is suggested.

SURFACE ANCHORS: • These piercings require maintenance during their entire lifetime because matter can build up underneath the threaded top causing the piercing to become irritated. Saline and/or shower rinses may be helpful with removing matter from underneath the threaded top. • Avoid putting makeup on these piercings even after healing. • Even with proper care, surface anchors may be less permanent than other body piercings.

The healthier your lifestyle, the easier it will be for your piercing to heal. • Get enough sleep. • To help healing and bolster your ability to fight infection eat a nutritious diet. If you don’t, consider taking nutritional supplements daily


CLEANING SOLUTIONS Use one or more of the following solutions for inside the mouth: • Antimicrobial or antibacterial alcohol-free mouth rinse. • Plain clean water. • Packaged sterile saline solution with no additives (read the label), or a sea salt mixture: Dissolve ¹∕8 to ¼ teaspoon of non-iodized (iodine free), fine-grain sea salt into one cup (8 oz.) of warm distilled or bottled water. A mixture of ½-1 teaspoon of salt to a quart (32 oz.) of water can be made and stored in the refrigerator, then a small amount can be dispensed and warmed for use each time. A stronger mixture is not better; saline solution that is too strong can irritate the piercing. (Note: If you have high blood pressure or a heart condition, please check with your doctor before using a saline product as your primary cleaning solution.)

CLEANING INSTRUCTIONS FOR INSIDE THE MOUTH Rinse mouth with your chosen solution for 30-60 seconds after meals and at bedtime (4-5 times daily) during the entire healing period. Cleaning too often or with too strong a rinse can cause discoloration and irritation of your mouth and piercing.

TO HELP REDUCE SWELLING: • Allow small pieces of ice to dissolve in the mouth. • Take an over the counter, non-steroidal anti-inflammatory such as ibuprofen or naproxen sodium according to package instructions. • Don’t speak or move your jewelry more than necessary. • Sleep with your head elevated above your heart during the first few nights.

TO MAINTAIN GOOD ORAL HYGIENE: • Use a new soft-bristled toothbrush and store it in a clean area away from other toothbrushes. • Brush your teeth and use your chosen rinse (saline, water, or mouthwash) after every meal. • During healing floss daily, and gently brush your teeth, tongue, and jewelry. Once healed, brush the jewelry more thoroughly to avoid plaque build up.

EATING: • Slowly eat small bites of food placed directly onto your molars. • Avoid eating spicy, salty, acidic, or hot temperature foods or beverages for a few days. • Cold foods and beverages can be soothing and help reduce swelling. • Foods like mashed potatoes and oatmeal are hard to eat because they stick to your mouth and jewelry. • For tongue piercing, try to keep your tongue level in your mouth as you eat because the jewelry can get between your teeth when your tongue turns. • For labret (cheek and lip) piercings: be cautious about opening your mouth too wide as this can result in the jewelry catching on your teeth.

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