Back Piercing

Back Piercing: A Stylish Statement with Subdermal Flair

Back piercings have carved out a space in modern body modification as a bold yet elegant form of expression. Unlike more common piercings found on ears or faces, back piercings are usually hidden under clothing, giving them a uniquely personal quality. They can be dainty and subtle or deliberately striking, and they allow for creative placements across the shoulder blades, spine or lower back. Most back piercings are either surface piercings or dermal (microdermal) piercings, each offering different aesthetic and technical possibilities.

Before booking a back piercing, it’s important to understand how these types of piercings work, how they’re placed, what aftercare they require and what challenges they can present. This guide covers everything you need to know—from the process and pain level to healing time and studio standards so you can make an informed and confident decision.

What Is a Back Piercing?

A back piercing typically refers to either a surface bar piercing or a dermal anchor placed on the upper, mid or lower back. Surface piercings consist of a bar with two visible ends that sits just beneath the skin’s surface. These are commonly seen as a pair of studs that sit side by side or in a line, such as along the nape or the lower back.

Dermal piercings involve a single-point anchor inserted into the skin with only one visible end—a flat disc, gem or ball. These are popular along the spine or shoulder blades, either as single accents or in symmetrical or artistic arrangements. Because they don't pass through the body like traditional piercings, dermals create a sleek, embedded appearance.

Both types of back piercings are purely decorative and not functional. They’re chosen for their aesthetic appeal and often paired with tattoos to enhance visual flow and balance.

How Are Back Piercings Done?

The procedure depends on whether you're opting for a surface or dermal piercing. For surface piercings, your piercer will clean the area and mark the entry and exit points of the bar. A sterile needle is then used to create a channel just beneath the skin. A surface bar with flat ends is inserted into this channel and secured in place.

For dermal piercings, the piercer marks the placement and cleans the area thoroughly. Using either a needle or a dermal punch, a small pocket is created in the skin. A dermal anchor base is then inserted into this pocket, and the jewellery top is screwed into the anchor.

Both methods require precision and experience. Back piercings are often done in pairs or rows, so symmetry and balance are essential. Your piercer will likely ask you to stand or sit in a neutral posture before marking to account for natural movement and posture changes.

Does a Back Piercing Hurt?

Pain levels vary depending on your body and the placement, but most people describe back piercings as moderately painful. The sensation is often a quick sharpness followed by some pressure or tugging as the jewellery is inserted.

The skin on your back tends to be thicker and less sensitive than areas like the face or chest, so while the piercing may sting, it's generally well tolerated. Soreness, bruising or tenderness after the procedure is common, especially if the area is under pressure or disturbed by movement during the day.

Healing Time and What to Expect

Back piercings require patience and careful aftercare. Surface piercings usually take between three to six months to heal, while dermal piercings may heal in about two to three months on the surface but take longer internally. Healing time can vary depending on your skin type, how well you care for the area and how often the piercing is irritated.

Because your back is an area that sees a lot of motion twisting, bending, lying down it’s crucial to minimise friction, pressure and impact. Avoid sleeping on your back, wearing heavy backpacks or tight clothing, and take care during exercise or stretching.

In the early weeks, expect mild swelling, redness and sensitivity. This is part of the normal healing response. If the piercing is knocked or moved, it may prolong healing or cause complications like migration, where the jewellery shifts position over time.

Aftercare for Back Piercings

Clean your back piercing once or twice a day with sterile saline solution. Since it’s on an area that’s hard to see or reach, you may need help from a trusted friend or use a mirror to ensure the area is thoroughly cleaned.

Gently soak the piercing with saline or apply it using non-woven gauze. Allow the area to air dry or pat dry with clean tissue. Avoid harsh products like alcohol, tea tree oil or hydrogen peroxide, as these can dry out the skin and interfere with healing.

Do not twist, press or pull on the jewellery. Even if the area becomes itchy or tight, resist the urge to touch it. Avoid baths, swimming pools and hot tubs during the early stages of healing, and keep clothing loose and breathable around the piercing.

How Much Does a Back Piercing Cost in the UK?

In the UK, a single back dermal piercing typically costs between £40 and £70, while a pair of surface piercings may range from £60 to £100 depending on the studio and jewellery used. Custom placements involving multiple piercings or decorative patterns may cost more.

The cost usually includes a consultation, the piercing itself, high-quality titanium jewellery and aftercare instructions. Any future appointments to change or remove the jewellery may involve a small fee.

Risks and Safety Considerations

Back piercings carry a higher risk of complications compared to other types due to their location. The most common risks include:

Migration or rejection, where the body pushes the jewellery out over time

Infection from poor hygiene, friction or moisture

Hypertrophic scarring, especially if the piercing is knocked or moved

Dislodgement from sleeping, clothing or accidental bumps

To minimise these risks, it’s essential to choose a professional studio that uses sterile, single-use equipment and implant-grade jewellery. Never attempt to change or remove the jewellery yourself if you need help, always return to your piercer.

If you notice excessive redness, swelling, pus-like discharge or pain that worsens rather than improves, seek advice from your piercer or a healthcare professional.

Is a Back Piercing Right for You?

Back piercings are best suited to people who are careful, committed to aftercare and mindful of how they move their body. If you work in an active job, play contact sports or wear tight-fitting clothes daily, this type of piercing may prove challenging.

That said, they are a fantastic choice for those who want something unique and artistic. They can beautifully complement tattoos, look stunning in evening wear or simply be your own personal statement that doesn’t need to be visible to the world.

If you’re interested in a dermal or surface back piercing, speak with an experienced piercer who can assess your anatomy, discuss the placement options and help you decide which technique is best for your lifestyle.

What to Expect from a Reputable Studio

A high-quality UK piercing studio will start with a consultation, explain the procedure in detail and assess your skin and posture before marking any placement. All equipment should be sterile and single-use, and the piercer should wear gloves throughout.

Studios should use implant-grade titanium or surgical steel and offer advice tailored to the specific area of your back being pierced. You should leave with written aftercare instructions and the option for a follow-up appointment to check on your healing.

If the studio doesn’t offer a consultation or uses unprofessional tools like piercing guns, it’s best to look elsewhere.

Final Thoughts

Back piercings offer a bold and beautiful way to express yourself through body art. Whether you choose a discreet single dermal or a dramatic line of surface bars, these piercings demand a little more care but deliver big visual impact in return.

Take time to find a trusted piercer, prepare for the healing journey, and remember to be gentle with your body. With the right aftercare and placement, a back piercing can be a stunning part of your look for years to come.