Body modification has always been a fascinating way for people to express themselves. From tattoos and piercings to scarification and implants, there’s an entire world of creative expression out there. One of the more intriguing types of body modification that has gained attention over the past few years is dermals. These small, decorative implants may look delicate, but they make a bold statement.
If you’ve ever spotted someone with a tiny gem seemingly floating on their skin and wondered how it’s attached—this guide is for you. We’ll take you through what dermals are, how they work, what to expect during the process, aftercare, and everything in between.
What Exactly Are Dermals?
Imagine a piece of jewelry that doesn’t hang from your ear or sit on your nose, but instead appears to rest directly on your skin. That’s the magic of dermals.
Unlike traditional piercings that go through a part of the body, dermals—also known as microdermals or dermal anchors—are single-point piercings.
In simple terms, a tiny anchor is inserted underneath the surface of the skin, and a decorative top (like a gem or metal stud) is screwed onto it, leaving the jewel visible. This design gives the illusion that the jewelry is simply “floating” on your skin.
A Brief History of Dermal Piercings
Body modification isn’t new—it’s been part of human culture for centuries. But dermal piercings, in their modern form, are a relatively recent innovation.
They gained popularity in the early 2000s as piercers looked for creative alternatives to surface piercings, which often had issues with rejection and migration.
The microdermal anchor solved those problems by offering a more stable structure beneath the skin. As body art evolved, dermals became a fashionable trend in both alternative and mainstream circles.
How Dermal Piercings Work
The idea of inserting metal under your skin might sound a bit intimidating, but the process is simpler than you might think.
A professional piercer uses one of two methods—a needle or a dermal punch—to create a small pocket in the skin. The base or “anchor” is then inserted into this space.
Once it’s settled beneath the surface, a decorative top is screwed on, completing the look.
The anchor holds the jewelry in place, while the skin heals around it, creating a secure fit. Think of it like planting a seed—the jewelry sits above, but it’s firmly rooted beneath the surface.
Common Placement Areas
One of the best things about dermals is their versatility. You can place them almost anywhere on the body, as long as the skin is flat and thick enough to support the anchor.
Popular spots include:
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The chest or collarbone area
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Cheekbones
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Lower back or hips
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Arms and forearms
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Hands and fingers
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Neck or throat area
Each location creates a unique visual effect. Some people even get multiple dermals in symmetrical patterns or creative designs.
Choosing the Right Jewelry
Dermal jewelry typically comes in two main parts:
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The anchor: the base that sits under the skin
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The top: the visible decorative piece
Anchors are usually made of titanium or surgical-grade steel—materials known for being biocompatible and safe for most skin types.
Tops can range from simple flat discs to sparkling crystals or intricate shapes like stars or hearts.
Choosing the right design often depends on your personal style, skin tone, and the placement of the dermal. A professional piercer can help you pick one that fits your body and complements your look.
The Procedure: What to Expect
Getting a dermal piercing is a quick process, typically lasting only a few minutes per piece.
Here’s what usually happens:
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The piercer cleans and marks the area.
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A needle or dermal punch creates a small pocket under the skin.
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The anchor is inserted carefully into the pocket.
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The jewelry top is attached.
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The area is cleaned and covered with a sterile dressing.
Most people describe the sensation as a quick pinch—uncomfortable but tolerable. The pain level depends on your personal threshold and where on the body the piercing is done.
Healing and Aftercare
Healing a dermal piercing requires patience and care. Since it’s a single-point piercing, it’s more exposed and can be vulnerable to snagging or irritation.
Typical healing time: 1 to 3 months.
Essential aftercare steps:
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Clean the area gently twice a day with saline solution.
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Avoid touching or twisting the jewelry.
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Keep hair, clothing, and accessories away from the site.
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Do not submerge it in pools, hot tubs, or open water until fully healed.
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Sleep on your back or opposite side to prevent pressure.
Think of it like nurturing a delicate plant—consistent care ensures it grows strong and stays healthy.
Possible Risks and Complications
Like all body modifications, dermal piercings come with a few potential risks. Awareness helps you take the right precautions.
Common issues include:
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Rejection: When the body pushes the jewelry out, treating it as a foreign object.
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Infection: Caused by bacteria entering the wound due to poor hygiene.
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Irritation: From clothing friction or constant movement.
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Scarring: If the dermal is removed or rejected prematurely.
To minimize these risks, always choose an experienced piercer and follow aftercare instructions closely.
Signs Your Dermal Might Be Rejecting
If you notice the jewelry becoming more visible, the skin thinning around it, or the area appearing red and inflamed—it could be a sign of rejection.
In that case, don’t try to remove it yourself. Visit your piercer or a dermatologist immediately. Sometimes, early intervention can save the piercing before it’s lost.
Can Dermals Be Removed?
Yes, dermals can be removed, but it’s not as simple as unscrewing a regular piercing.
A professional must carefully loosen the surrounding tissue and extract the anchor to avoid scarring or tearing.
If done properly, most removals heal smoothly, leaving behind only a small mark. It’s always best to have it handled by a trained piercer or healthcare provider.
Pain, Cost, and Longevity
Pain is subjective—what feels like a 4/10 for one person might be an 8/10 for another. However, most people describe the discomfort as brief and bearable.
Cost: Prices vary based on location and jewelry type but generally range from $50 to $150 per dermal.
Longevity: With proper care, dermals can last several years. Eventually, though, they may need replacement or removal due to natural skin changes or external wear.
Dermals vs. Surface Piercings
It’s easy to confuse dermals with surface piercings, but there’s a key difference.
Surface piercings go in one side of the skin and out the other, like a bridge. Dermals, however, have only one visible end, anchored beneath the skin.
Advantages of dermals include:
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Less risk of migration.
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Greater placement flexibility.
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A cleaner, more minimalistic look.
This makes dermals a preferred option for those who want a striking yet subtle aesthetic.
Myths and Misconceptions
Let’s bust a few common myths:
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“Dermals are permanent.”
Not true. While they’re semi-permanent, they can be removed safely. -
“They’ll set off metal detectors.”
Highly unlikely—dermals are too small to trigger scanners. -
“You can’t wear them long-term.”
Many people keep their dermals for years without issue when properly cared for.
Like any body modification, the key lies in good hygiene, quality materials, and professional expertise.
Creative Ways People Use Dermals
Dermals aren’t just jewelry—they’re an art form. People use them to highlight tattoos, form patterns, or accentuate body curves.
Some popular creative ideas include:
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Adding dermals to the corners of tattoos for a sparkling effect.
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Creating constellations or geometric shapes with multiple anchors.
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Placing one in the dimple area for a playful, radiant look.
It’s all about personal expression. Whether you want something bold or understated, dermals offer endless possibilities.
The Emotional Side of Body Art
Beyond aesthetics, dermal piercings can hold emotional significance. For some, they symbolize transformation, confidence, or individuality.
Just like a tattoo tells a story, a dermal can mark a personal milestone or represent inner strength. Body art often becomes part of one’s identity—a visible form of self-celebration.
Final Thoughts
Dermals may be small, but they make a big impact. They blend creativity, craftsmanship, and personal style in a way few other forms of body art can.
If you’re considering getting one, remember: research, choose a professional piercer, and take care of your new adornment like it’s a precious treasure.
After all, it’s not just jewelry—it’s a reflection of who you are.
Frequently Asked Questions
1. How long do dermal piercings last?
With proper care, dermals can last anywhere from one to several years. Their longevity depends on placement, jewelry quality, and how well you follow aftercare.
2. Do dermal piercings hurt?
Most people describe the feeling as a brief, sharp pinch—over in seconds before you even realize it happened.
Pain levels vary based on personal tolerance and the area of placement.
3. Can you change the top jewelry?
Yes! Once the piercing has healed, you can swap out the decorative top. Always have it done by a professional to avoid damaging the anchor.
4. What happens if a dermal gets snagged or pulled?
It can cause irritation or even dislodge the anchor. If that happens, don’t force it—see your piercer right away for assessment or repair.
5. Are dermal piercings safe?
When performed by a trained professional with sterile tools and proper aftercare, dermals are generally safe. Always research your piercer’s credentials and reviews before booking an appointment.
