Subject: rec.arts.bodyart: Piercing FAQ 5--Care of New Piercings Date: 4 Jan 1996 01:20:15 GMT Expires: Mon, 05 February 1996 07:00:00 GMT Archive-name: bodyart/piercing-faq/new-pierce-care Posting-frequency: Monthly Summary: This posting contains information about body piercing. Anyone interested in the subject and/or wishes to read/post to rec.arts.bodyart should read the Piercing FAQ first. The rec.arts.bodyart Piercing FAQ is broken up into 19 parts: 1--Introduction 2A--Jewelry Materials 2B--Jewelry Sizes & Designs 2C--Unisex Piercings & Their Suggested Jewelry 2D--Genital Piercings & Their Suggested Jewelry 3--Getting A New Piercing 4A--Professional Organizations, Instruction, Misc. Suppliers 4B--Professional Piercers & Jewelry Manufacturers - United States - A-F 4C--Professional Piercers & Jewelry Manufacturers - United States - G-M 4D--Professional Piercers & Jewelry Manufacturers - United States - N-Z 4E--Professional Piercers & Jewelry Manufacturers - beyond the United States 5--Care Of New Piercings 6--Problems And Hazards 7--Healed Piercings 8--Misc. Info 9--Resource List 10A -- Personal Experiences - Facial & Unisex Piercings 10B -- Personal Experiences - Genital Piercings 10C -- Personal Experiences - Genital Piercings Cont'd What's in this section: 5--Care Of A New Pierce 5.1 Cleaning Agents 5.2 Healing Ointments 5.3 Treating Facial Piercings 5.4 Treating Mouth-Related Piercings 5.5 Treating Body Piercings 5.6 Treating Genital Piercings 5.7 Care Instructions From Elayne Binnie 5.7a Lips, Labret And Cheek Piercings 5.7b Body piercings 5.7c Ear Lobe, Ear Cartilage, Tragus, Conch, Nostril, Septum and Eyebrows 5.7d Tongue Piercings 5.8 The Healing Process - Is My Piercing Fully Healed? All texts written and (c) 1995 by Anne Greenblatt unless otherwise noted. Please see Part 1 of the FAQ for information regarding copyright and dissemination of the FAQ. DISCLAIMER! The Piercing FAQ contains material of a sexually explicit nature. 5.1 CLEANING AGENTS Recommended general cleaning agents: HIBICLENS: Active ingredient - chlorohexidine gluconate Should be diluted 1 part Hibiclens to 3 parts water. * Recently, there has been some discussion of removal of Hibiclens from the market as an Over The Counter product and reclassification by the FDA. Hibiclens has proven to be very irritating for most people. Anyone who decides to use Hibiclens should watch carefully for any signs of irritation or failure of the piercing to heal properly. BETADINE: Or a solution of Povidone-Iodine, Betadine brand soaps and skin cleansers. * Long-term use of Betadine / Povidone-Iodine solutions can induce an insensitivity to the product as well as allergy. Long-term use has also been known to cause growing skin cells to lyse (over-saturate and rupture). Thus it is recommended that excess solution be rinsed away thoroughly. Single-use disposable Betadine pads are recommended over the bottle for maintainance of a single piercing, as there is evidence of one strain of bacteria which thrives in contaminated povidone-iodine. (* based on information provided by Michaela Grey, Ass'n of Professional Piercers) BACTINE: And other solutions of benzalkonium- or benzethonium-chloride (Pierced Ear Care Solution or Sensitive Ears Solution, usually available at stores which perform ear piercing). Some people may be sensitive to the solution and should dilute with 25% water. Bactine need not be rinsed away; thus it is excellent for use on facial piercings. TRICLOSAN-BASED ANTI-BACTERIAL LIQUID SOAPS: Any soap used should be low-pH, deodorant and moisturizer-free. Brand names include Liquid Dial, Almay Hypo-Care, Clearly Natural, and Softsoap. Soaps are best used in the shower. Apply the lather to the piercing while rotating the jewelry back and forth. Allow the lather to saturate the piercing for 3 minutes. Rinse thoroughly by rotating the jewelry under running water. POVIDONE-IODINE BASED LIQUID SOAPS: Brand names include Clearly Natural. Soaps are best used in the shower. Apply the lather to the piercing while rotating the jewelry back and forth. Allow the lather to saturate the piercing for 3 minutes. Rinse thoroughly by rotating the jewelry under running water. SAVLON: In the UK, Savlon wound wash is the most commonly used aftercare product. It contains the same active ingredient as both Hibiclens and Hibiscrub, but is diluted to the right concentration for use on piercings. HIBISCRUB is used widely as a pre-surgical disinfectant and is only available by prescription. A.C. 2000: available exclusively from Pleasurable Piercings, Inc., contains the same active ingredient as Hibiclens. Remember that what works best for one person may not work for you. If you experience an adverse reaction to a particular product (itching, redness, irritation) switch to another product. In the case of an extreme allergic reaction, contact a physician. HYDROGEN PEROXIDE should NEVER be used on a fresh piercing. The peroxide acts to break down the newly formed tissue. ISOPROPYL ALCOHOL is inappropriate for use on piercings as it is very drying. To be effective as a disinfectant, alcohol must saturate the area for at least 10 minutes. 5.2 HEALING OINTMENTS Healing ointments include Betadine ointment, anti-bacterial or anti-biotic ointments containing any combination of bacitracin zinc, Neomycin, and Polymyxin- B Some people are allergic to bacitracin zinc or Neosporin (neomycin). It is advised that use of anti-bacterial ointments be limited to the first five days to one week ONLY. A small amount should be used, the excess removed. Excessive or prolonged use can lead to desensitivity to the active ingredients in the product and limits air circulation to the piercing. Vitamin E gel is also recomended by some piercers, especially in the case of dry skin, which is common with nipple piercings. However, some people have experienced allergic reactions to vitamin E. 5.3 TREATING FACIAL PIERCINGS Disinfectants containing benzalkonium or benzethonium chloride (Bactine, Pierced-Ear Care Solution) are commonly recommended for cleaning ear and facial piercings. The cleaning agent should be used twice to three times a day. Liquid antibacterial soaps are also recommended, where applicable, and are excellent in breaking-down bacteria-trapping oils and dirt. Any dried discharge around the piercing and on the jewelry should first be softened and removed with a cotton swab saturated in the disinfectant or with warm salt water. The disinfectant should be applied to both entrances and allowed to saturate the inside of the piercing by rotating the jewelry back and forth. Make-up, foundations, and powders should be avoided during the healing process. When using har spray, cover your piercings with your hand or a tissue. Do not allow your piercings to come in contact with saliva (yours or others') and other bodily fluids. *NEVER USE HIBICLENS SOLUTIONS ON FACIAL PIERCINGS!* Hibiclens Can Cause Blindness And Hearing Loss If It Gets Into Your Eyes And Ears. 5.4 TREATING MOUTH-RELATED PIERCINGS Tongue piercings should be cleaned with Gly-oxide or PerOxyl 2, cleansing antiseptics for the mouth containing carbamide peroxide (10%), twice a day and after meals. It is imperative that one of these products be used - Listerine alone will not adequately guard against infection. Listerine diluted 50% to 75% should be used as a mouth rinse after eating or drinking anything other than water. Rinse for at least one minute. Mouth related piercings - lip, labret, cheek - should be cleaned on the inside as described for tongue piercings. The outside piercing should be cleaned following the instructions for facial piercings. Warm salt water rinses are also recommended for faster healing. Do not allow your piercings to come into contact with others' bodily fluids. Avoid spicy or hot foods to which new piercings are often sensitive. 5.5 TREATING BODY PIERCINGS Recommended cleaning agents include Triclosan-based antibacterial liquid soaps (please see product listing above) and Betadine. Avoid using deodorant or moisturizing soaps on your piercings. Any dried discharge around the piercing or on the jewelry should be removed with a cotton swab and warm water prior to cleaning. The cleaning agent should be allowed to saturate the inside of the piercing by rotating the jewelry back and forth. The piercing should be rinsed well to remove any residues. Warm salt water soaks work wonders to remove dried discharge and secretions during healing, relieve itching, and decrease the healing time. Do not allow your piercings to come into contact with others' bodily fluids. Swimming in public pools, spas and hot-tubs is advised against, as one can never be sure sure of the quality of sanitation, and the risk of exposure to bacteria is too great. Although some people have experienced no ill-effects from swimming in ocean / sea water, most piercers maintain that the risks of exposure to unhealthy elements outweighs any benefits the salt water may have. 5.6 TREATING GENITAL PIERCINGS Genital piercings should be cleaned following the instructions for body piercings. However, the cleaning products may irritate the urethra in both men and women and the vagina in the case of women. Urinate after cleaning to flush out any residues in the urethral opening. Women should take care not to let any cleaning agent enter the vagina and to rinse thoroughly with water, as the depletion of bacteria may contribute to the incidence of yeast infections. Genital piercings should be cleaned after intercourse. During the healing period use of a condom during intercourse and dental dams during all other contact is recommended. Also, certain lubricants and spermicides may irritate piercings. Please see Part 6.4 for more information on genital piercings and sexual activity. Do not allow your piercings to come into contact with others' bodily fluids. Swimming in public pools, spas and hot-tubs is advised against, as one can never be sure sure of the quality of sanitation, and the risk of exposure to bacteria is too great. Although some people have experienced no ill-effects from swimming in ocean / sea water, most piercers maintain that the risks of exposure to unhealthy elements outweighs any benefits the salt water may have. 5.7 CARE INSTRUCTIONS FROM ELAYNE BINNIE The following care instructions are approved for reprinting through rec.arts.bodyart by Elayne "Angel" Binnie (former manager of Gauntlet Los Angeles), Rings of Desire, Inc., 1128 Decatur Street, 2nd floor (above Boomerang), New Orleans, LA 70116, phone (504) 524-6147. Any form of distribution of these care instructions must be accompanied by this paragraph, and must remain intact within each section. You may contact her if you have any questions about these care instructions. ------------------------------------- 5.7a Lips, labret and cheek piercings according to Elayne "Angel" Binnie Healing time: 6 to 8 weeks Cleaning solutions: --For inside the mouth: Listerine or other antibacterial mouthwash and Gly-Oxide or Peroxyl (available in the oral medications section of any pharmacy). --For the outside surface: Ear Care Antiseptic, or Bactine diluted 50/50 with water. Instructions: 1. Rinse mouth for 60 seconds with Listerine after anything goes in your mouth other than water or ice. This includes coffee, tea, soft drinks, all food, smoking or eating utensils. If you are not ingesting very often, rinse 12 to 24 times daily. Keep a small bottle of Listerine with you so that you can rinse often. 2. Twice daily, rinse for two to three minutes with Gly- Oxide. Do not omit this step! This foams inside your mouth, so you might want to rinse with water or Listerine afterwards. 3. Keep dirty hands, fingernails, pens, etc. out of your mouth. 4. Refrain from oral sexual contact during the 4 to 6 weeks of initial healing. This includes French (wet) kissing as well as oral sex, even if you are in a monogamous relationship. 5. With clean hands, check twice daily to make sure the ends of your labret stud are on tightly (if applicable). To clean hands, use antibacterial soap (i.e., Liquid Dial). 6. Do not play with the piercing for the first 4 to 6 weeks beyond the necessary movement for speaking and eating. This can cause complications, such as the formation of scar tissue. 7. Twice daily, use a cotton swab (Q-Tip) saturated with Ear Care Antiseptic solution to remove any crusty blood plasma formation from the exterior of the piercing and jewelry. Cleanse the post or ring witht he solution, and gently move the jewelry to work the solution onto the inside of the piercing. Hints and tips: --Swelling of the lip is normal during initial healing. This can be reduced by sucking gently on clean ice, especially during the first few days (shaved or chipped ice, or small cubes are easiest). Cold foods (ice cream and frozen yogurt) are soothing. --Leave the initial jewelry in for at least 6 to 8 weeks before changing it. Allow something to remain in the piercing at all times for 6 to 9 months or longer. You may find that even after years, your piercing may shrink or close. If you like it, leave something in it. -------------------------------------------- 5.7b Care Instructions for: Body Piercings according to Elayne "Angel" Binnie Healing time dependent on location of pierce Cleaning solutions: --Betadine (or other 10% Povidone Iodine). Note: Do not use Betadine on gold jewelry, as it will tarnish. --Hibiclens diluted 50/50 with water. Note: Pre-diluting Hibiclens in a clean empty container is most convenient. Instructions: Body piercings need to be cleaned twice daily during the entire healing period. Most people clean in the morning and at night in the shower. 1. This is most important: Do not touch healing piercings with dirty hands!!! Prior to your twice-daily cleanings, wash hands thoroughly with antibacterial soap (i.e., Liquid Dial) and hot water. As an extra precaution, you can wear disposable latex or vinyl gloves. 2. After washing your hands, remove any crusty formation from the piercing and jewelry. The formation comes from a secretion of blood plasma, which is normal. Removal of this crust is best accomplished by rinsing or soaking. A clean cup of warm water can be sealed over the area to soak directly, for a few minutes. If any stubborn crust remains, use a cotton swab (Q-Tip) moistened with warm water to gently scrub away any foreign matter. Never pick with fingernails or fingers! Note: As long as the piercing secretes this liquid that forms the crust, the piercing is still healing, and cleaning procedures should be continued. 3. Pour a small handful of the cleaning solution into your clean palm and apply it gently to the piercing and its surrounding area. Hibiclens will suds lightly, while Betadine will not. Cleanse the jewelry and rotate the ring back and forth several times to work the solution into the piercing >From each opening. 4. Allow the solution to remain in the piercing to clean for 3 to 5 minutes. 5. Under running water, carefully rinse the area and rotate the jewelry back and forth to completely remove the cleaning solution from inside the piercing. Your piercing will likely get irritated if you donUt get all the solution out, so rinse thoroughly. 6. Finally, pat dry with tissues or other clean, disposable paper products. Cloth towels can harbor bacteria, so keep them away from healing piercings. Hints and tips: --Leave your initial jewelry in during the entire healing period. --If you like your piercing, leave jewelry in at all times. Body piercings can shrink and/or close very quickly, even after years. --Avoid oral contact or rough play, as well as contact from others' bodily fluids during healing. If you have a genital piercing, you must use latex barriers (condoms, dental dams) to prevent such contact even if you are in a monogamous relationship. --Make sure your bedding is clean. Change your sheets often while your piercing is healing. --Threaded jewelry (barbells, circular barbells, etc.) should be checked twice daily to make sure the ends are screwed on tight. --To accelerate healing, take a multi-vitamin/mineral supplement with zinc (i.e., Vicon-C). --After the first week of healing, use a mild salt-water solution of 1/2 tsp to 1 cup of warm water for your pre- soak, instead of plain water. --You can use salt water several more times a day to accelerate healing. Soak for a few minutes, rinse, then pat dry with disposable paper products. Do not rotate jewelry with salt water - that should only be done with twice-daily with your cleaning solution. --Many doctors have no training or experience with piercings, and may offer poor advice. In the event that you do get an infection, the jewelry should be left in the piercing to allow drainage of pus. If the jewelry is removed, the holes can close and result in an abscess. Feel free to contact us for suggestions on treating infected piercings. ------------------------------------------- 5.7c Care Instructions for pierces of: Ear Lobe, Ear Cartilage, Tragus, Conch, Nostril, Septum and Eyebrows according to Elayne "Angel" Binnie Healing time: Septum, lobe: 4 to 6 weeks. Eyebrow: 6 to 8 weeks. Nostril, Cartilage, Tragus, Conch: 2 to 3 months Cleaning solutions: --Ear Care Antiseptic or Bactine diluted 75/25 with water. Note: Do not use Hibiclens for ear pierces, as this could lead to deafness! Instructions: Piercings must be cleaned 2 to 3 times daily during the entire healing period, although over-cleaning can be irritating. 1. This is most important: Do not touch healing piercings with dirty hands!!! Prior to your twice-daily cleanings, wash hands thoroughly with antibacterial soap (i.e., Liquid Dial) and hot water. As an extra precaution, you can wear disposable latex or vinyl gloves. 2. Saturate fresh cotton swabs (Q-Tips) with the cleaning solution, and use the swab to gently scrub any crusty formation from the jewelry and its surrounding area. This is a normal secretion of blood plasma, and will continue to appear during healing. 3. Use a fresh swab to apply the cleaning solution to the jewelry, and gently rotate the ring to slide the solution onto the inside of the piercing. Use a different swab for each piercing surface. Never dip a used swab into the bottle. 4. At the end of your bath or shower, run clear water ov the piercing and jewelry to remove any soap or shampoo residue. This will also help loosen up the crust. Don't use cloth towels to dry the area. Use tissues or other clean, disposable paper products. It's a good idea to clean after your shower. 5. Clean your telephone receiver inside and out with Lysol or other disinfectant. Avoid contact with your piercing to any public telephone. 6. Make sure your bedding is clean, particularly your pillow case. 7. Leave the jewelry in the piercing without changing it for the entire initial healing time (see above). For several months after the initial healing time, do not try to leave the piercing empty, as the hole can shrink or close. If you like your piercing, leave jewelry in it to avoid any problems. 8. In the event that the piercing secretes a thick pus discharge instead of the more liquid blood plasma, you may wish to see a physician for evaluation and possible antibiotic treatment. If you do have an infection however, do not remove the jewelry as this may worsen your problem. Topical antibiotic ointments should not be used for more than a few days as they prevent air circulation to the piercing, which is important for healing. --------------------------------------- 5.7d Care Instructions for: Tongue Piercings according to Elayne "Angel" Binnie Healing time: 4 to 6 weeks Cleaning solutions: --Listerine or other antibacterial mouthwash and Gly-Oxide or Peroxyl (available in the oral medications section of any pharmacy). Instructions: 1. Rinse mouth for 60 seconds with Listerine after anything goes in your mouth other than water or ice. This includes coffee, tea, soft drinks, all food, smoking or eating utensils. If you are not ingesting very often, rinse 12 to 24 times daily. Keep a small bottle of Listerine with you so that you can rinse often. 2. Twice daily, rinse for two to three minutes with Gly- Oxide. Do not omit this step! This foams inside your mouth, so you might want to rinse with water or Listerine afterwards. 3. Keep dirty hands, fingernails, pens, etc. out of your mouth. 4. Refrain from oral sexual contact during the 4 to 6 weeks of initial healing. This includes French (wet) kissing as well as oral sex, even if you are in a monogamous relationship. 5. With clean hands, check twice daily to make sure the balls on your barbell are on tightly (if applicable). To clean hands, use antibacterial soap (i.e., Liquid Dial). 6. Do not play with the piercing for the first 4 to 6 weeks beyond the necessary movement for speaking and eating. This can cause complications, such as the formation of scar tissue. Hints and tips: --Swelling of the tongue is normal during initial healing. This can be reduced by sucking gently on clean ice, especially during the first few days (shaved or chipped ice, or small cubes are easiest). Cold foods (ice cream and frozen yogurt) are soothing. --It is common for the tongue to feel uncoordinated for a while after your piercing. This will pass. --If you remember to keep your tongue level in your mouth while eating, the jewelry will not come in contact with your teeth. --Plaque can form on tongue jewelry (particularly the bottom ball of a barbell). Scrub with a toothbrush (gently during healing). After the tongue is healed, rinse mouth with Plax or other anti-plaque product. --All healing piercings secrete blood plasma. In other areas of the body, this dries and forms a crust. Inside the mouth however, it doesn't have a chance to dry. Do not be alarmed if you see a secretion coming from the piercing, this is very likely the liquid blood plasma, and a normal part of healing. --If you like it, leave something in it. Even after an extended period, the hole may shrink or close if you take the jewelry out. ----------------------------------------------- 5.8 The Healing Process - Is My Piercing Fully Healed? by Thor (because the author prefers to remain anonymous, please forward all responses to ardvark@richmond.infi.net) What exactly does the term "healed" mean when we talk about piercings? Some make the mistake of assuming that when their piercings have stopped bleeding/oozing/hurting, they're "healed". Unfortunately, it's not quite that simple and in these days of HIV and Hepatitis, being too optimistic can be a grave danger because an un-healed piercing is a passageway for bacteria and viruses into your body. When your body detects the foreign material you've stuck in there, the first reaction is to clamp up the skin around it to prevent bleeding. Then, as the capillaries in the surrounding tissues have closed up, the body tries to get rid of the disturbance. This is what is sometimes known as "rejection" or "growing out" and it can go on for months. In broad terms, we can say that a piercing that "moves" of its own (as opposed to, say, earlobe piercings getting stretched by heavy jewellery) is definitely NOT yet healed. As long as the piercing moves, the body still retains its hope of getting rid of it completely and this can be seen by the speed the hole closes up with if the jewellery is removed. A truly healed piercing is a variation of what in medical terms is called a "fistula". When the body gives up on rejecting the foreign object, it encapsulates it, creating a "tunnel of skin" between the entry and exit holes. Only when this new skin has formed and had time to grew strong enough not to break when the jewellery is moved, can you consider the piercing "healed". When you've reached this stage, the piercing will NEVER go away unless you have the skin of the fistula removed. As anybody who's had an earlobe piercing for a year or so can testify, removing the jewellery does not mean the piercing goes away. It may shrink in size, forcing you to re-stretch it to insert heavy-gauge jeewllery, but it will still be there even if you leave it unused for years. A rule of thumb is: A piercing is healed when you can remove all jewellery from it over-night and re-insert it next morning without pain or trouble. Whenever you're thinking about putting your new piercing in close contact with any other person, I recommend that you try this, as a test. Remove the jewllery over-night and if the hole closes up (or even if you're just worried that it will!), you're not ready - wait another month! This may seem harsh ("You mean I have to risk losing this piercing that I went through so much trouble for?"), but consider the dangers. Are you prepared to risk a bad infection just because you can't wait for proper healing? Of course, if you follow my advice and it turns out the piercing does close up, you may be out of luck. Forcing jewellery back in will be painful, if it can be done at all, and may set back the healing process quite a bit. Which is why it's all the more important NOT to rush things. Do NOT delude yourself into thinking your nipple is healed in two weeks. It is not. No way. The inner labia and hood piercings on women and the PA on men are the fastest-healing piercings and they *may* be ready for playing with within a month, but there's no guarantee. Any piercing that goes through thicker skin (earlobes, nipples, navels, hafadas, outer labia) WILL take longer. And if the skin is moving around (navel and hafada being prime examples), the "tube" of the fistula may never get a chance to form in peace and the piercing may fail to heal no matter how much time and care you give it. -- * Ardvark * Anne Greenblatt Piercing FAQ Manager for rec.arts.bodyart Proprietor - Piercing Exquisite, Richmond, Va. COMING SOON IN THE NEW YEAR * THE WEBPAGE!