Body Piercing | Jewelry and Safety
Ritual or decorative body piercing is extremely popular as a form
of self-expression. Different types of materials are used to make
body piercing jewelry including ferromagnetic and no ferromagnetic
metals, as well as non-metallic materials. Risks include
uncomfortable sensations from movement or displacement that may be
mild-to-moderate depending on the site of the body piercing and the
ferromagnetic qualities of the jewelry (e.g., mass, degree of
magnetic susceptibility, etc.). In extreme cases, serious injuries
may occur.
Therefore, if it is not possible to remove metallic body piercing
jewelry, the patient or individual should be informed regarding the
potential risks. In addition, if the body piercing jewelry is made
from ferromagnetic material, some means of stabilization (e.g.,
application of adhesive tape or bandage) should be used to prevent
movement or displacement.
To avoid potential heating of body piercing jewelry made from
conductive materials, the use of gauze, tape, or other similar
material should be used to wrap the jewelry in such a manner as to
insulate it (i.e., prevent contact) from the underlying skin is
recommended.
Piercing jewelry removal may lead to closure of the subcutaneous
tract.
Therefore, temporary replacement with a nonmetallic spacer may be
indicated. This can be accomplished using the following procedure,
as it was applied to umbilical piercing jewelry:
Disinfect the piercing and umbilical area with 70% isopropyl
alcohol,
Open the piercing jewelry by removing the bead from the bar,
Place the tip of a tight-fitting intravenous catheter (14 or 16
gauge, without the needle) over the threaded tip of the bar,
Advance the intravenous catheter caudally, pushing the piercing out
of the skin tract, and
Remove the jewelry and leaving the intravenous catheter in the
subcutaneous skin tract as a spacer.
It's nice to know that piercing jewelry located in other areas on
the body may be replaced in the same way, with minor modifications.
Of course, the above procedure must only be accomplished under the
guidance and direction of a physician.