When I started piercing (now too long ago to specify) the state of the art was poor. Few people had anything besides their ears pierced, with a few nostrils thrown in for variety. The IDEA of piercing a nipple, or, heaven forbid, something else was completely foreign to most.
The rise of the Punk Rock movement (remember the safety pins and widespread dermatitis from the nickel reactions) created a split between the "I want that" and the "Why would anybody do that" groups without any hope of common ground or acceptance.
As technology was brought to bear, we realized the importance of proper materials, effective techniques, and rational aftercare. The invention of the captive bead ring, and of the barbell, gave us jewelry which looked good and was easy to place. With increased popularity, public acceptance developed, and demand for variety created new jewelry types, and, indeed, new piercings.
Recently, the idea of a single entry point for implanted jewelry has gained popularity. Those of us who have seen the errors as well as the successes of new techniques as they developed have awaited the outcome of this trend before giving it our endorsement. Good thing too! The initial 'Dermal Anchors' were horrid things, with a requirement for cutting to remove if something went wrong, or if the wearer wished to have them removed.
The newer 'Microdermals' have advanced considerably. Microdermals have a high success rate, with few problems. It is interesting that the highest success rates are from piercers who espouse the 'basically leave it alone' philosophy of aftercare that Blackstar has been promoting for the past 10 years.
Microdermals are semi-permanent. They are easily removed by a piercer if necessary, yet have the stability to remain in place and problem free for long periods of time. Permanent? Who knows as they have only been around for 3 years or so.
The jewelry is more advanced, and more expensive that usual piercing jewelry, and titanium is the material of choice. The techniques require skill on the part of the piercer which most do not have. Clean field techniques are only a starting point. The piercer MUST be able to support a full aseptic technique, as the jewelry is implanted in a pocket. Trapping bacteria in the pocket would be disastrous. The work must be performed quickly, before the body's natural inflammatory response causes a swelling which will hinder the jewelry insertion. This is not work for an untrained piercer.
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