Body piercings have evolved far beyond ears, noses, and belly buttons. Today, more people are embracing unique placements like the cheeks, hips, chest, and collarbones—and that’s where surface piercings and dermal anchors come in. Although they look similar, these two styles are very different in structure, healing, and longevity. If you’re considering one, here’s everything you need to know.
What Are Surface Piercings?
A surface piercing goes in one side of the skin and out the other, similar to a standard piercing, but placed on a flat area of the body. Because this area is not naturally curved (like an ear lobe or nostril), the jewelry sits closer to the skin’s surface.
Common Placements
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Nape (back of the neck)
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Hips
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Collarbone
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Chest
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Bridge of the nose
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Anti-eyebrow
Jewelry Used
Surface bars, typically shaped like a staple or a curved barbell with flat ends. This shape reduces pressure and helps prevent rejection.
What Are Dermal Anchors (Single-Point Piercings)?
A dermal anchor, also known as a microdermal or single-point piercing, sits into the skin rather than through it. It involves a small base (anchor) inserted beneath the surface, with a decorative top screwed into it. Only one point is visible on the skin.
Common Placements
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Cheekbones
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Chest
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Collarbone
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Lower back
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Hips
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Forearms
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Face accents
Jewelry Used
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A flat titanium base (the anchor)
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Replaceable decorative tops in various styles
Key Differences: Surface Piercings vs. Dermal Anchors
1. Structure
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Surface piercing: Has an entry and exit point, like a normal piercing.
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Dermal anchor: Has only one visible point; the base sits entirely under the skin.
2. Procedure
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Surface piercings: Done with a needle; jewelry goes straight through.
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Dermal anchors: The piercer creates a small pocket with a needle or dermal punch, then places the anchor beneath the skin.
3. Appearance
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Surface piercing: Looks like two jewelry ends on the skin.
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Dermal anchor: Looks like a single gem or flat disc floating on the surface.
4. Healing Time
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Surface piercing: 6–12 months
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Dermal anchor: 1–3 months
Dermals tend to heal faster because there’s only one exit point.
5. Rejection Risk
Both have higher rejection rates than traditional piercings, but:
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Surface piercings: Higher risk over time because the bar sits close to the skin.
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Dermal anchors: Slightly lower risk initially, but may migrate or be pushed out over years.
6. Longevity
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Surface piercings: Often temporary; many last 1–3 years.
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Dermal anchors: Can last longer with proper care but still not permanent.
7. Removal
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Surface piercings: Removed like a normal piercing; the bar slides out.
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Dermal anchors: Must be removed by a professional as the anchor sits under the skin.
Which One Should You Choose?
It depends on your goals, lifestyle, and how long you want the piercing to last.
Choose a Surface Piercing if:
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You want jewelry with two visible ends
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You prefer a more traditional piercing structure
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You’re okay with a longer healing time
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You plan to remove it eventually
Choose a Dermal Anchor if:
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You want a sleek, minimalist “floating gem” look
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You prefer faster healing
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You want a more secure fit
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You’re comfortable with professional removal later
Aftercare Tips for Both Types
Regardless of which you choose, proper aftercare is essential:
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Clean twice daily with saline
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Avoid snagging on clothing or towels
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No touching with dirty hands
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Avoid makeup, lotions, or fragrance near the area
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Be patient—don’t change jewelry too early
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