Dermal Piercing Guide UK

Dermal Piercing: Healing, Aftercare and What to Expect in the UK

Dermal piercings—also known as microdermal or single-point piercings—have carved out a space in the world of body art for those looking for something striking, minimalist and a little bit different. Unlike traditional piercings that go in one side of the skin and out the other, dermals are anchored beneath the skin, creating the illusion of a bead or jewel floating on the surface.

From collarbones to hips and cheeks to fingers, dermal piercings can be placed almost anywhere, offering a versatile and eye-catching alternative to standard placements. But as beautiful as they are, they require careful consideration, aftercare and maintenance. This guide walks you through everything you need to know about dermal piercings in the UK—from how they’re done to what living with one is really like.

What Is a Dermal Piercing?

A dermal piercing is a single-point piercing that sits flat on the skin using a small anchor embedded beneath the surface. Rather than having an entrance and an exit like traditional piercings, dermals consist of two parts: a dermal anchor, which sits under the skin, and a dermal top, which screws into the anchor and is visible on the surface.

The top can be decorative or minimal—anything from a small gem to flat disc. Popular placements include the sternum, nape, cheekbones, hips, collarbone, fingers and lower back. Because of its ability to sit flush with the skin, a dermal gives a clean, elegant aesthetic that’s hard to match with more conventional jewellery.

The Piercing Process

Dermal piercings must be performed by an experienced piercer due to the precision required. In a professional UK studio, the process begins with a thorough consultation, where the piercer assesses your skin type, preferred placement and lifestyle factors.

After cleaning and marking the area, the piercer uses a sterile dermal punch or needle to create a small pocket in the skin. A tiny anchor—usually made of implant-grade titanium—is then inserted into the pocket, where it sits flat and snug beneath the surface.

Once the anchor is secure, the chosen top is screwed into place. The whole process is relatively quick, taking around 15 minutes per piercing, but it requires skill, attention and a sterile environment.

You’ll be sent home with detailed aftercare instructions to protect the area during the crucial healing stage.

Does It Hurt?

The pain level of a dermal piercing depends largely on the placement. Areas with more flesh, like the chest or cheeks, tend to be less painful, while bony or sensitive spots like fingers or collarbones can feel sharper.

Most people describe the sensation as a quick pinch or sting, followed by a brief pressure as the anchor is placed. There may be mild soreness or bruising for a few days afterwards, particularly if the area moves frequently or comes into contact with clothing.

While it’s not the most painful piercing, dermals do create a deeper wound than surface piercings, so expect some tenderness during the early stages of healing.

Healing Time and What to Expect

Dermal piercings typically take around 1 to 3 months to heal on the surface, but full internal healing can take up to 6 months depending on your body and how well the piercing is cared for.

In the early days, you may experience swelling, light bruising or a mild throbbing sensation. It’s important to avoid snagging, bumping or putting pressure on the area, especially during dressing, sleeping or exercise.

Unlike standard piercings, dermals are more prone to displacement or rejection if they’re knocked or irritated. That’s why your choice of placement and how you protect it during healing are so important.

Aftercare for Dermal Piercings

Clean your dermal piercing twice a day using a sterile saline solution or a gentle piercing aftercare spray. Soak a piece of sterile gauze or a clean pad in the solution and hold it gently against the area for a minute to help remove crust and keep the site clean.

Do not twist, turn or remove the dermal top during healing. Avoid tight clothing, jewellery or accessories that rub against the area. Be mindful during physical activity, sleeping or applying skincare products.

Always wash your hands before touching the area, and avoid applying makeup, lotion or perfume near the site until it has healed fully.

If your dermal becomes red, warm, swollen or starts producing yellow or green discharge, speak to your piercer or GP—early treatment can prevent more serious infections.

Cost of a Dermal Piercing in the UK

In the UK, dermal piercings typically cost £40 to £70 per site, depending on the studio, placement and jewellery selected. This usually includes the consultation, piercing, anchor and top, along with professional aftercare instructions.

Studios may charge more for gold, gem-set or decorative tops, or offer discounted rates if you’re getting multiple dermals at once.

Always ensure that the price reflects professional standards—dermal piercings are a specialist procedure and should never be rushed or discounted at the expense of safety.

Risks and What to Watch Out For

Dermal piercings are generally safe when done by a skilled practitioner, but they come with specific risks that you should understand.

Rejection is one of the most common issues. If the body treats the dermal as a foreign object, it may begin to push the anchor out of the skin. This can happen slowly over time or quickly if the area is knocked or stressed repeatedly.

Snagging is another major concern. Getting your dermal caught on clothing, towels or bedding can lead to trauma, swelling or even sudden removal.

Infection can occur if the piercing is touched with dirty hands or exposed to bacteria. Dermals heal more slowly than surface piercings, so cleanliness is key.

It’s also worth noting that dermal piercings are considered semi-permanent—they’re not designed to last forever, and many people have them removed or replaced after a year or two.

Is a Dermal Piercing Right for You?

Dermal piercings are a great option for people who want a unique, low-profile look in areas not suited to traditional piercings. They offer creativity in placement and style and can be used to complement tattoos or other body art beautifully.

However, they require a high level of care and awareness. If you lead an active lifestyle, wear tight-fitting clothes or frequently carry bags or gear over the area you’re considering, a dermal might not be the best choice.

Dermals are also not suitable for people with certain skin conditions, bleeding disorders or poor wound healing. A professional consultation will help determine if you’re a good candidate.

UK Studio Standards

In the UK, dermal piercings should only be carried out in licensed piercing studios using sterile, single-use equipment. The jewellery should be implant-grade titanium or similarly biocompatible material, and the practitioner must have experience with dermal anchoring.

Studios must meet local council hygiene requirements, and the piercing should be done in a private, clean space with clear explanations and consent procedures. If you feel rushed, judged or unsure—walk away and find a studio you trust.

Dermal Piercing FAQs

Can a dermal piercing be removed? Yes. A professional piercer or clinician can remove the anchor with a small incision. You should never try to remove it yourself.

Will it leave a scar? Most dermals leave a small mark or indent once removed, especially if they’ve been worn for a long time or rejected naturally.

Can I change the top myself? After full healing, you may change the dermal top—but only if you’re confident and have clean hands and tools. Many prefer to have it done by a piercer.

How long do they last? A well-cared-for dermal can last several years, but they are considered semi-permanent. Many people experience migration or choose removal after a year or two.

Can I get one anywhere on the body? Almost. But the best areas are flat, low-impact zones like collarbones, hips or cheeks. Areas with lots of movement or friction aren’t ideal.

Final Thoughts

Dermal piercings are a beautiful and striking form of body modification. With the illusion of floating jewellery and the freedom of placement almost anywhere on the body, they offer a level of customisation that few other piercings can match.

However, they require dedication. From initial healing to long-term care, dermals thrive when treated with respect and gentleness. Done professionally and looked after well, they can be a bold yet elegant way to express your individuality.