Deep Dive into Piercing Healing: What Happens Under the Skin?

Article published at: May 8, 2025
piercingnaald die de huid pierced

The Physiology of Piercing Healing: How It Works

Getting a piercing is more than just wearing a beautiful piece of jewelry, it is also an impressive biological process. As soon as the piercing is done, your body starts healing . Unlike with a regular wound, your body now has to deal with a permanent 'foreign object': the jewelry. This makes healing more complex and takes longer . In this blog we explain step by step how your body tackles this process, including important medical terms (with explanation) and tips for healthy healing.

What does the skin around a piercing look like?

When you look at a cross-section of the skin, you see different layers that all play a role in the healing process. The epidermis forms the outer protective layer. Underneath lies the dermis, rich in blood vessels, nerves and connective tissue, this is where most recovery takes place.

In cartilage piercings, such as in the helix or conch, the canal runs even deeper: through cartilage tissue. Since cartilage has little blood supply, healing is slower there and the risk of complications is greater. Around the jewelry, the body eventually forms an epithelial-lined tunnel, a kind of internal skin layer, which encloses and protects the canal.

4 phase of wound healing
4 phase of wound healing

Phases of wound healing

Phase 1: Direct wound closure (hemostasis)

Immediately after the piercing, the natural clotting system comes into action. Platelets (thrombocytes) form a network of fibrin – a biological 'glue' that stops bleeding and forms a basis for new cells.
Duration: 3 to 5 days

Phase 2: Clearance and defense (inflammation phase)

In this phase, your body's immune system comes into action. The goal is to remove any harmful bacteria or damaged tissue:

  • White blood cells , such as neutrophils and macrophages, are sent to the wound to fight bacteria and clean up damaged tissue.
  • The blood vessels dilate (vasodilation), which causes increased blood flow. This can lead to a red, warm and swollen area around the piercing.

This phase can take a little longer with piercings, because the jewelry constantly causes a slight irritation. This causes a long-lasting, but mild inflammatory reaction.

Duration: average 6 to 8 weeks

Phase 3: Tissue building (proliferation phase)

In this phase, the real healing begins. The body actively creates new tissues to close the wound:

  • New capillaries begin to form around the piercing canal, which improves blood flow.
  • Fibroblasts, a type of cell, produce collagen (a type of building block), which helps fill the wound.
  • Epithelial cells (skin cells) move along the duct to cover it and form a protective layer.
  • Granulation tissue forms, a type of temporary tissue that protects the healing but remains sensitive to movement.

Duration: 3 to 12 months, depending on location

Phase 4: Strengthening of the canal (maturation phase/remodeling phase)

In the final stage, the temporary tissue is replaced by stronger connective tissue, making the canal firmer and more stable:

  • The collagen in the canal changes from a weaker form (type III) to a stronger variant (type I).
  • The blood circulation and cells work less intensively, which makes the healing process calmer and the scar less visible.
  • The skin barrier is completely restored, and the canal is now firm and well protected.

Duration: 12 to 24 months, especially for cartilage piercings.

What affects the healing of your piercing?

Factor
Influence
Location
Cartilage (e.g., helix, conch) heals more slowly (3–12 months) than earlobe or nostril (4–8 weeks)
Jewelry material
Titanium is biocompatible and causes less inflammatory reactions
Care
Daily cleansing with 0.9% NaCl promotes healthy healing

Health
Vitamin C or zinc deficiencies slow recovery; smoking reduces blood flow

Possible complications during healing

Although most piercings heal well, complications can sometimes occur:

What can you do yourself for healthy healing?

Good aftercare is essential for a smooth and problem-free recovery. With these four basic rules you help your body optimally:

  • Leave your piercing alone - Do not touch the jewelry with unwashed hands, do not twist it, and avoid pressure or friction.
  • Clean daily - Use only sterile saline (0.9% NaCl). Avoid alcohol or tea tree oil.
  • Live healthy - Eat a diet rich in protein, get enough vitamins and minerals, and avoid smoking.
  • Schedule a check-up appointment - Have your piercing checked by a professional piercer after 2 to 8 weeks.

👉 More tips for optimal healing can be found here

Finally

A piercing heals on average 50 to 200% slower than a regular cut. This is because your body not only has to repair the skin, but also has to get used to a permanent foreign object: the jewelry. With the right aftercare, a well-chosen piece of jewelry and enough patience, you give your body the best chance of a beautiful, healthy and permanent piercing channel.

Want to know more about piercings and care?

Are you curious about how to best care for your piercing, which jewelry is most suitable or how we work at All Perfectly Pierced?
Then take a look at our other blogs and expand your knowledge about everything related to piercings:
👉 View all blogs from All Perfectly Pierced

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Ready for a new piercing or questions about healing? Simply book an appointment via our online agenda. Our specialists are ready to guide you to a beautiful and healthy piercing.

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Raquel Huijgen van Weenen owner of All Perfectly Pierced

Raquel Huygen van Weenen


About the author:
Raquel Huijgen van Weenen is the owner of All Perfectly Pierced and a passionate piercing expert with years of experience in setting and styling piercings. With an eye for detail, safety and personal service, she helps clients every day to a piercing that not only looks good, but also suits them. Through her blogs, Raquel shares her knowledge about care, trends and everything you want to know before getting a piercing.

Follow her tips for a stylish, responsible and above all perfectly pierced look.

Article published at: May 8, 2025