Quick answer
- A dermal piercing is a single-point piercing: a small anchor sits under the skin and a decorative top screws on above it.
- Tops are swappable once healed, from tiny gems to flat discs.
- Popular spots include behind the ear, the cheekbone, collarbone and hip.
- Rejection is a real risk; removal should always be done by a professional piercer.
A dermal piercing looks like a gem sitting directly on your skin with no visible entry or exit point. It is a striking alternative to traditional earrings, and it is often searched as a "dermal earring" when people want that floating sparkle near the ear. Here is how microdermals work, where they go, and what to know about rejection and removal.
What is a dermal piercing?
Unlike a regular piercing, which has a hole in and a hole out, a dermal (also called a microdermal or single-point piercing) has just one opening. A tiny base called an anchor is placed just under the surface of the skin, and a post rises up through the opening. A decorative top screws onto that post.
Over time, tissue grows around and through small holes in the anchor's base, holding it in place. That is what makes the gem look like it is floating on your skin.
Anchors vs skin divers
You may also hear about skin divers, which are a different single-point style with a pointed base and a fixed top. Anchors with swappable tops are more common today because they let you change the look once healed.
Dermal tops: what you can wear
Tops are where the personality comes in. Most anchors are internally threaded, often at 14g (1.6mm), and the tops screw in. Common styles include:
- Bezel-set gems: the most popular look, usually 3–5mm.
- Flat discs: minimal metal circles in gold or titanium.
- Shapes: hearts, stars, flowers or tiny clusters.
- Opals and colored stones: a softer, iridescent shimmer.
Choose implant-grade titanium or 14k+ solid gold for both the anchor and the top. Ask your piercer to change your first top, since the anchor can be tugged if you twist too hard. A dermal wrench or the right technique makes it easier.
Popular dermal placements
| Placement | The look | Things to consider |
|---|---|---|
| Behind the ear | A hidden sparkle visible when hair is up | Glasses arms, masks and hair can snag it |
| Cheekbone | A beauty-mark sparkle | Highly visible; makeup must be kept away while healing |
| Collarbone | An elegant, necklace-like accent | Bag straps and seatbelts can rub |
| Hip | A playful detail above the waistband | Clothing friction makes rejection more likely |
| Wrist or finger | Ring-like or bracelet-like | Constant movement; high rejection rate |
Behind the ear is a favorite for people who love curated ears but want something unexpected. If you are drawn to that area, our guide to behind the ear earrings covers non-piercing styles too.
Rejection risk and healing
Dermals are known to be less permanent than many other piercings. Your body may slowly push the anchor toward the surface, which is called rejection or migration. Signs include the top sitting higher than before, more of the post becoming visible, skin around it thinning or looking translucent, or the piercing getting red and tender after a calm period.
The biggest risk factor is friction: snagging on clothes, towels, hair and straps. Initial healing typically takes around 1–3 months, though the anchor keeps settling for longer. Many dermals last years, but it is wise to think of them as semi-permanent.
If a dermal starts rejecting, see your piercer sooner rather than later. Removing it early usually leaves a smaller scar than waiting until it grows out on its own.
Aftercare basics
- Rinse gently with sterile saline; do not rotate or press the top.
- Keep a small bandage over it for the first days if your piercer recommends it, especially while sleeping.
- Avoid lotions, makeup and tight clothing over the area.
- See a doctor for spreading redness, heat, thick discolored discharge or fever.
Removal: always by a professional
Because the anchor is held in place by tissue under your skin, removing a dermal is not like taking out an earring. Never try to pull or dig it out yourself. A professional piercer (an APP member is a good place to start) can usually remove it with gentle pressure and massage, and sometimes a doctor is needed if tissue has grown around it firmly.
What does "dermal earrings" mean?
The phrase gets used in a few ways. Most often, people mean a microdermal placed near or behind the ear that gives an earring-like sparkle without passing through the ear itself. Some sellers also use "dermal earrings" loosely for flat-back studs or tiny cartilage labrets that look like a dermal top.
If you want the look without the commitment, a small flat-back stud in the cartilage gets you close. See our ideas for cute cartilage earrings, or read about types of earring backs to understand how flat backs compare.
Frequently asked questions
Is a dermal piercing permanent?
It is best thought of as semi-permanent. Many last for years, but dermals have a higher chance of rejection than most other piercings.
Can I change my dermal top?
Yes, once healed. Most anchors are internally threaded, and it is wise to have your piercer do the first change so the anchor is not disturbed.
Can I get a dermal behind my ear?
Yes, behind the ear is a popular spot. Be mindful of glasses, masks and hair, which can snag the top while it heals.
How is a dermal removed?
A professional piercer removes it, usually with gentle pressure and massage. Never try to remove an anchor yourself.
