Dermal anchors (sometimes called microdermals or surface anchors) are unique piercings that sit flat against the skin, with a small decorative top on the surface and a tiny “foot” that rests underneath. They’re popular because they can be placed almost anywhere on the body, creating beautiful accents that look like sparkling gems resting on the skin.
But because they’re different from regular piercings, it’s important to understand how they’re placed, how to look after them, and what to expect long-term.
Placement: Choosing the Right Spot
Not every part of the body is a good candidate for a dermal anchor. The success of the piercing depends on where it’s placed:
- Best spots: Flat, smooth areas with minimal movement (like along the collarbone, upper cheek, or lower back dimples).
- Avoid: Areas that bend, stretch, or rub against clothing (like joints, waistbands, or bra straps).
- Hooking risks: Consider your lifestyle — backpacks, handbags, tight clothes, or sports can all snag a dermal.
A skilled piercer will always assess your anatomy and daily habits before suggesting the best location.
Jewelry Material: Why It Matters
The base of your dermal anchor stays under the skin, so it must be implant-grade titanium (G23 titanium) to minimise irritation and reduce rejection.
But here’s something most people don’t know: while the base is usually titanium, the decorative top isn’t always. Some manufacturers use steel or plated metals, which can cause irritation where it touches your skin. For the safest, longest-lasting result, always choose a titanium or solid gold top from a reputable supplier.
Aftercare: Helping It Heal
Dermal anchors heal differently from regular piercings because there’s no “exit hole” — just the anchor under your skin. Here’s how to take care of them:
- Keep it covered with a small bandage for the first 24–48 hours.
- Clean gently with saline solution twice daily.
- Avoid twisting, playing, or snagging the jewelry.
- Protect it from friction (clothing, straps, or rough towels).
- Expect mild swelling or redness at first — but ongoing pain, discharge, or irritation should be checked by your piercer.
Longevity & Removal
Dermal anchors are considered semi-permanent. Some people keep them for years, while others may see migration or rejection over time — especially if placed in a high-movement area.
If you ever decide to remove yours (or if your body begins pushing it out), don’t try to do it yourself. A professional piercer can remove it quickly and safely with a small incision, leaving only a tiny scar.
Final Thoughts
Dermal anchors are beautiful, versatile, and unique — but their success depends on proper placement, safe materials, and consistent aftercare. Choosing an experienced piercer who uses high-quality titanium jewelry is the best way to ensure your anchor looks good and lasts as long as possible.