Piercing migration
Encyclopedia
Piercing migration is the process that occurs when a body piercing moves from its initial location. This process can be painful or go unnoticed, until it has progressed. Given enough time, a ring may migrate entirely outside of the skin
Skin
-Dermis:The dermis is the layer of skin beneath the epidermis that consists of connective tissue and cushions the body from stress and strain. The dermis is tightly connected to the epidermis by a basement membrane. It also harbors many Mechanoreceptors that provide the sense of touch and heat...

, although it may only migrate a small amount and come to rest.

Potential causes and effects of migration

The effects of migration can vary widely. The most common form of migration is the way that heavy small gauge earrings will migrate downwards out of the earlobe
Earlobe
The human earlobe is composed of tough areolar and adipose connective tissues, lacking the firmness and elasticity of the rest of the pinna. Since the earlobe does not contain cartilage it has a large blood supply and may help to warm the ears and maintain balance. However earlobes are not...

, as is common in older women who have worn earring
Earring
Common locations for piercings, other than the earlobe, include the rook, tragus, and across the helix . The simple term "ear piercing" usually refers to an earlobe piercing, whereas piercings in the upper part of the external ear are often referred to as "cartilage piercings"...

s most of their lives. This is known as the "cheesecutter effect", as its action is easily compared to the method of cutting cheese
Cheese
Cheese is a generic term for a diverse group of milk-based food products. Cheese is produced throughout the world in wide-ranging flavors, textures, and forms....

 with a fine wire. Contemporary body
Body piercing
Body piercing, a form of body modification, is the practice of puncturing or cutting a part of the human body, creating an opening in which jewelry may be worn. The word piercing can refer to the act or practice of body piercing, or to an opening in the body created by this act or practice...

 and ear piercing jewelry is much more balanced in its weight to gauge ratio, although migration is still possible with heavy jewelry, even if it is of large gauge.

Play or movement of the area pierced or implanted can also lead to migration, but it's not likely. Sometimes this can occur without an open wound being created, as the fistula
Fistula
In medicine, a fistula is an abnormal connection or passageway between two epithelium-lined organs or vessels that normally do not connect. It is generally a disease condition, but a fistula may be surgically created for therapeutic reasons.-Locations:Fistulas can develop in various parts of the...

 stretches in one direction, and tissue fills in behind it. This is not uncommon with tongue piercing
Tongue piercing
A tongue piercing is a body piercing usually done directly through the center of the tongue, and is the most popular piercing site in the western world after the ear and nostril.-History and culture:...

s, although the migration usually stops before the jewelry would exit the body.

Damage to the tissue surrounding the piercing can also cause migration. A damaged piercing, much like a fresh piercing, must heal the fistula that it passes through, and the jewelry may start migrating in the direction of the wound, further damaging the fistula as it moves. Should the fistula heal, the migration may stop, although it may be inclined to continue migrating, as the re-healed area of tissue may not be as strong as the original fistula was.

Migration may also be caused by the body rejecting the material that the jewelry is made of. Like a splinter or other foreign object, the body will try to push out foreign material, especially if it irritates the surrounding tissue. Contemporary body jewelry is made from surgical grade implant materials, so with proper aftercare during the healing phase and good hygiene, this is rare.

Pressure, especially the pressure caused by improperly performed surface
Surface piercing
Surface piercings are any body piercings that take place on the surface sewn into the body through areas which are not particularly concave or convex, where the piercing canal transverses a surface flap of skin, rather than running completely through a piece of body tissue from one side to another...

, navel
Navel piercing
A navel piercing is a type of body piercing. It may heal very quickly and with no problems, like an ear piercing, or may heal more like a surface piercing with the associated extended healing time. Healing usually takes less than six months, and as long as it is cleaned, it will heal nicely...

 and eyebrow piercing
Eyebrow piercing
An eyebrow piercing is a vertical surface piercing, wherein a twelve to eighteen gauge cannula needle is inserted through the bottom of the eyebrow and exits through the top of the eyebrow to permit insertion of jewelry. Those performing the piercing may use a pennington clamp to better guide the...

s often leads to migration. Proper, custom made jewelry can reduce the risk of migration associated with these piercings, although it cannot eliminate it. This type of migration is sometimes accompanied by rejection due to improper drainage
Drainage
Drainage is the natural or artificial removal of surface and sub-surface water from an area. Many agricultural soils need drainage to improve production or to manage water supplies.-Early history:...

 due to the length of piercing, as dead tissue
Biological tissue
Tissue is a cellular organizational level intermediate between cells and a complete organism. A tissue is an ensemble of cells, not necessarily identical, but from the same origin, that together carry out a specific function. These are called tissues because of their identical functioning...

 builds up in the healing fistula.

Rejection rate

Rejection rate is a term used by the piercing industry. It applies to the chance of a piercing being forced out by the body. This is a body's natural reaction to a foreign object being inserted into the skin
Skin
-Dermis:The dermis is the layer of skin beneath the epidermis that consists of connective tissue and cushions the body from stress and strain. The dermis is tightly connected to the epidermis by a basement membrane. It also harbors many Mechanoreceptors that provide the sense of touch and heat...

. This behavior can be witnessed with other objects such as splinters, road rash
Road rash
Road rash is a colloquial term for skin and bone injury caused by abrasion with road surfaces, usually as a consequence of cycling and motorcycling accidents. The term may be applied to both a fresh injury and the scar tissue left by an old one...

, or infection
Infection
An infection is the colonization of a host organism by parasite species. Infecting parasites seek to use the host's resources to reproduce, often resulting in disease...

s. With surface piercings being closer to the surface of the skin, the tendency to reject is higher, as it is easier for the body to force the jewelry out.

Surface piercing rejection rates

Surface piercings, such as a navel piercing
Navel piercing
A navel piercing is a type of body piercing. It may heal very quickly and with no problems, like an ear piercing, or may heal more like a surface piercing with the associated extended healing time. Healing usually takes less than six months, and as long as it is cleaned, it will heal nicely...

, Christina piercing
Christina piercing
A Christina piercing, also known as a Venus piercing, is a female genital piercing. It is located where the outer labia meet, below the pubic mound. Unless the recipient has an extremely sympathetic anatomy, Christinas are usually considered surface piercings and have a high rejection rate. Due to...

, eyebrow piercing
Eyebrow piercing
An eyebrow piercing is a vertical surface piercing, wherein a twelve to eighteen gauge cannula needle is inserted through the bottom of the eyebrow and exits through the top of the eyebrow to permit insertion of jewelry. Those performing the piercing may use a pennington clamp to better guide the...

, or a nape piercing
Nape piercing
A nape piercing is a piercing through the surface of the nape of the neck. Nape piercings are a type of surface piercing. They carry a high rate of rejection and migration, unless they are properly measured and placed...

, tend to have a higher rejection rate than piercings that pass through a deeper area of flesh or have holes on the opposite side of each other. Thus surface piercings stand in contrast to piercings such as tongue piercing
Tongue piercing
A tongue piercing is a body piercing usually done directly through the center of the tongue, and is the most popular piercing site in the western world after the ear and nostril.-History and culture:...

, earrings, or nose piercing
Nose piercing
Nose piercing is the piercing of the skin or cartilage which forms any part of the nose, normally for the purpose of wearing jewelry; among the different varieties of nose piercings, the nostril piercing is the most common...

s.
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