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Do you suddenly see a bump near your piercing? That can be quite alarming. Many people immediately search online and quickly come across words like keloid, overgrowth, or scar tissue. That sounds serious and can cause a lot of anxiety.
Fortunately, a bump near a piercing is not always a keloid. In fact, in the piercing world, we see irritation bumps or fluid-filled bumps much more often than actual keloids. The difference is important, because a fluid-filled bump requires a different approach than a keloid.
In this blog, we calmly explain the difference, when you should have a piercer take a look, and when it's advisable to contact your GP or dermatologist.
An irritation bump, also known as a fluid-filled bump, is a small bump that can develop around a piercing. This is mainly seen with cartilage piercings, such as a helix, conch, tragus, flat, or daith piercing.
Such a bump often occurs because the piercing becomes irritated. For example, due to pressure, sleeping on the piercing, excessive movement of the jewelry, incorrect cleaning, jewelry that is too short or not suitable, or because the piercing repeatedly rubs against something. Want to delve deeper into this? Then also read our blog about irritation bumps on piercings.
An irritation bump can be red, slightly swollen, or tender. Sometimes it looks like it contains fluid. This can be bothersome, but it doesn't immediately mean there is overgrowth or a keloid.
Often, an irritation bump is a sign that the piercing needs rest or that something needs to be adjusted in the care, placement, or jewelry.
A keloid is a type of abnormal scar tissue. It occurs as a reaction to skin damage, for example, after a wound, surgery, acne, burn, or piercing.
With a keloid, the body produces too much scar tissue. This results in a firm, raised thickening that can grow beyond the original piercing opening or wound. A keloid often feels harder and firmer than a regular irritation bump. The skin can be smooth, shiny, darker, or pinker in color. Sometimes a keloid causes itching, pain, or a burning sensation.
A true keloid usually does not disappear on its own and requires medical evaluation. If you think you have a keloid, it is advisable to contact your GP or dermatologist.
An irritation bump is usually located close to the piercing opening. It often develops during healing or after irritation. Its size can vary, and it may subside if the cause of irritation is addressed.
A keloid behaves differently. It often grows more firmly, feels harder, and can extend beyond the original piercing area. A keloid is usually not a small, temporary bump that changes daily, but rather a scar-like thickening that continues to increase or does not subside.
However, the difference is not always easy to assess from a photo. Therefore, it is advisable not to draw conclusions too quickly yourself, especially if you see all kinds of severe examples online.
We notice that many clients get scared as soon as they see a bump near their piercing. That's understandable. Online, terms like keloid, wild flesh, and scar tissue are often used interchangeably. This makes every small bump suddenly seem serious.
In practice, this is usually not the case. Many piercing bumps arise from irritation and can improve if you address the cause. Think of less pressure, not twisting the jewelry, better fitting jewelry, or calmer aftercare.
The most important thing is not to pick at it, squeeze it, use aggressive agents, or try to burn or remove the bump yourself. This can further irritate the skin.
Do not use tea tree oil, alcohol, hydrogen peroxide, wound ointment, or other aggressive agents on your piercing bump, unless specifically advised by a doctor. These agents can dry out or irritate the skin, causing the bump to persist longer.
Also, do not squeeze the bump. A piercing bump is not a regular pimple. Pressure, damage, or dirty hands can worsen the irritation.
Do not simply remove your jewelry from your piercing without advice. Sometimes that seems logical, but it can cause problems if there is swelling, irritation, or inflammation. It's better to first have a professional piercer take a look.
Have a professional piercer take a look if you have a small bump that doesn't go away, keeps returning, or constantly gets irritated. We can often assess whether the jewelry fits well, if there's too much pressure on the piercing, and if your aftercare is still appropriate.
At All Perfectly Pierced, we calmly examine your piercing, your jewelry, the placement, and your daily habits. Sometimes, a small adjustment is enough to give the piercing more rest.
Even if you didn't get your piercing from us, you can come to us for a Piercing Panic appointment. We'll give you an honest assessment and explain what's best to do.
Contact your GP or dermatologist if the bump continues to grow firmly, extends beyond the piercing area, is very painful, keeps itching or burning. Also, with clear signs of infection, such as increasing redness, warmth, swelling, pus, fever, or feeling unwell, medical advice is important.
A true keloid should be medically evaluated. Possible treatments, such as corticosteroid injections, silicone patches, pressure therapy, laser, or other treatments, will be discussed by a doctor or dermatologist. This is not a treatment you should attempt yourself at home.
A bump near your piercing is annoying, but it is not automatically a keloid. In many cases, it is an irritation bump or fluid-filled bump, caused by the piercing being too irritated and not having enough rest.
If you are in doubt, it is better to have it checked in time. This will prevent you from panicking unnecessarily, but also from walking around too long with something that does need attention.
At All Perfectly Pierced, we are happy to help you better understand the difference. We will look at your piercing, your jewelry, and the possible cause of the bump. This way, you'll know where you stand and what the best next step is.
Are you experiencing piercing panic or are you unsure about a bump near your piercing? Then make a Piercing Panic appointment.