When it comes to body piercings that sit flat against the skin (especially in areas like the chest, neck, hips, or cheeks) two options often come up: surface anchors (also known as microdermals) and surface piercings. While they might look similar at a glance, the way they’re done, how they heal, and how they behave long-term are very different.

I believe in giving you all the information you need to make an informed, safe, and stylish choice. Let’s break down the key differences between these two types of piercings:

🔩 What Is a Surface Anchor (Microdermal)?

A surface anchor, often called a microdermal, is a single-point piercing. That means there’s only one visible end on the surface of the skin, but it’s actually held in place by a small anchor underneath the skin.

How it works:
A dermal anchor base (usually made of titanium or implant-grade steel) is inserted under a small pocket of skin. A threaded or threadless decorative top is then screwed or pushed into the anchor, and that’s the visible jewelry you see.

Common areas: Cheekbone, collarbones, sternum, nape of neck, hips, etc.

Healing time: 3 to 6 months, depending on placement and aftercare.

Pros:

  • Sleek and minimal design
  • Can be placed in areas not suitable for traditional piercings
  • No “exit” point, so only one piece of jewelry shows

Cons:

  • Requires surgical-style removal if you want it out
  • Prone to rejection or migration in high-movement areas
  • Not ideal for everyone’s anatomy

➿ What Is a Surface Piercing?

A surface piercing goes in one side of the skin and out the other, but both entry and exit points lie flat against the body; unlike traditional piercings that go through a ridge or protrusion (like a lip or earlobe). The jewelry used is specifically shaped to accommodate the flatness of the area.

How it works:
A barbell with two 90-degree angles (often called a surface bar) is inserted just beneath the skin. The entry and exit points are aligned horizontally or vertically, depending on the area.

Common areas: Nape of neck, hips, chest, eyebrow (horizontal), sternum.

Healing time: 6 months or longer, with possible extended care

Pros:

  • Customizable placement for symmetrical or paired designs
  • Jewelry is removable and changeable more easily than dermals
  • Better long-term viability with the right anatomy and jewelry

Cons:

  • Still prone to migration/rejection if not placed correctly
  • Needs very specific jewelry and professional technique
  • Not always ideal in high-friction or high-motion areas

✨ So Which One Is Better?

It really depends on your anatomy, lifestyle, and aesthetic goals. I offer in-depth consultations to assess your anatomy and discuss the pros and cons of each option. We’ll never place a piercing that isn’t viable long-term, and we’ll always walk you through the healing process, aftercare, and realistic expectations.

My recommendation:

  • Want a small, single gem or disc with minimal jewelry showing? A surface anchor might be best.
  • Looking for paired piercings or something that you may want to change out later? A surface piercing could be the way to go.

🧼 Aftercare and Long-Term Success

Both surface anchors and surface piercings require diligent aftercare. That includes:

  • Avoiding snagging on clothing, towels, and bedding
  • Gentle saline soaks or sterile saline sprays
  • Watching for signs of migration, rejection, or buildup

I carry high-quality aftercare products and will guide you every step of the way during healing.

📍 Ready to Book?

Whether you’re still deciding or ready to get pierced, I’m here to help. With over 20+ years of experience and advanced training through Fakir Intensives and the APP, you’re in trusted hands.

📍 Based in Staten Island, NY
📟 Text to schedule: 347-770-7653
🗓️ Book online anytime: book.ipricku.com
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