Everything You Need to Know About Conch Piercings, According to a Pro Piercer

Rihanna with conch piercing

Jon Kopaloff / Getty Images

Of all the piercing trends we've seen, conch piercings (yes, like the shell, but pronounced "konk") take the cake for being the most lust-worthy. Perhaps it's because of the way they delicately adorn the ear in a bold yet wearable way, or it could be the fact that they're highly customizable—paired with a curated ear or worn as is. Conch piercings are a type of cartilage piercing that's named after the large spiral shape that ears take after. Within the world of conch piercings, there are options of placement (inner versus outer) and type of jewelry (stud or hoop).

But while a conch piercing is both Insta-worthy and gorgeous, it can also be quite, dare we say it, intimidating—even for piercing enthusiasts. To allay our worries and get some answers on pain, cost, aftercare, and what the process actually entails, we called on Rhianna Jones, head piercer at The Circle in London, England, and board-certified dermatologist Dr. Susan Bard of Vive Dermatology.

Conch Piercing

Placement: The inner part of the ear

Pricing: $30+ (not including the jewelry)

Pain level: 6/10

Healing time: Three to nine months

Aftercare: Clean twice a day with saline solution. Avoid sleeping on the area and wearing earbuds. Do not twist the earring.

Ahead, we break down everything you need know before getting a conch piercing.

What to Know About Conch Piercings
 Getty Images / Cristina Cianci

What is a Conch Piercing?

A conch piercing is located in the center part of the ear—aka the area with the most room—and because of its placement, it's one of the most customizable ear piercings you can get. When asking for this type of piercing, bear in mind that depending on the shape of your ear, you can either get an inner or outer conch piercing. The inner conch piercing is when a hole is punctured right through the middle of the ear to make way for a stud. Then there’s the outer conch piercing, which allows a ring to go around the outer edge of the ear's cartilage (hello, hoop earrings).

According to Jones, a conch piercing is suitable for many ears and suits all styles. "In my many years of piercing, I have not come across one that wasn’t suitable," she says. "Working with the anatomy of each ear, the placement can achieve a subtle look or be a statement piece, depending on the style and desires of the client."

Pain and Healing Time

It's tough to say exactly how much a conch piercing will hurt because we all have different pain tolerances, and Jones maintains that any piercing is painful to a degree. But because conch piercings take place on the cartilage of the ear (the part with the thicker flesh), it's bound to be more painful than the lobe. Still, Jones says that though it varies for each person "on the whole, it is pretty much the same as other ear parts and not that bad." Phew.

"The healing process can take anywhere from three to nine months," explains Jones. "This varies due to how well the aftercare is followed and the client’s general health." Generally speaking, cartilage piercings take longer to heal than lobe piercings, which typically take six to eight weeks to heal.

Cost of Conch Piercing

Depending on where you get pierced and what type of jewelry you choose, the cost of a conch piercing can vary. For instance, a cartilage piercing at Maria Tash in New York starts at $30; however, the total cost could be upwards of $80 including jewelry.

Aftercare

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H2Ocean Piercing Aftercare Spray $12
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"Anytime you pierce the cartilage, you run the risk of inflaming or infecting it," says Bard. "There's a greater likelihood of prolonged wound healing, pain, and keloid formation." For this reason, it's crucial to practice proper aftercare post-piercing. Jones recommends cleaning the piercing twice a day with a sterile saline solution and avoiding manipulating or fiddling with the piercing, despite how excited you are to sport your new ice. Of course, ensuring cleanly practice during the actual piercing is key. "Make sure it is done in the most sterile fashion possible and kept clean and infection-free," advises Bard.

If you're a side-sleeper, you'll have to avoid sleeping on the side of the piercing until it's fully healed. Both experts agree that sleeping on the piercing could cause irritation and delay the healing process. "My advice to anyone interested in getting a new piercing is to research your piercer before choosing where to go, and always follow the aftercare advice that they give," says Jones.

Sleeping on your side can cause sagging or wrinkling of the skin. We recommend trying to sleep on your back, conch piercing or not.

Side Effects of Piercing

  • Infection and inflammation: All piercings come with a risk of infection, but there are several things to keep in mind with this style. Bard notes that if you're an earbud wearer, you may be more prone to infection with a conch piercing (side note: you should avoid wearing earbuds as it's healing). Also, if you've had previous issues with cartilage piercings or work in a dirty environment that can predispose the ear to infection, she recommends you avoid the piercing altogether.
  • Keloid: In rare cases, piercings can result in excess scar tissue and the formation of something called a "keloid." These can be genetic, so find out if anyone in your family has dealt with one before you get pierced. As always, be religious about your aftercare regimen to minimize the chance of infection or scarring.

How to Change Out a Conch Piercing

It's important not to mess with your new piercing until it's totally healed in six to nine months. The first time you go to change the jewelry, considering returning to the professional who did your piercing in the first place. This will ensure the piercing is fully healed and ready to be swapped, and prevent further damage. Plus, your piercer can give you tips to use at home based on what style of earring you're wearing.

What Type of Jewelry Is Used for Conch Piercing?

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  • Conch studs or bars: Studs and bars are great picks for new inner conch piercings, as they are small and comfortable, plus easy to change out when the time comes. Jones uses a bar for the initial piercing, but once healed, she notes it "can be fitted with jewelry of either a bar or ring style dependent on the placement and anatomy of the client."
  • Hoops: Small hoops are another popular pick for conches, especially outer conches, as they come in all different variations. These are a bit riskier for a new piercing, as they are easier to snag, but can be a great pick once you're all healed.

What Jewelry Material Is Used for Conch Piercing?

  • Surgical stainless steel: This is one of the safest metals for a brand-new piercing, as it's surgical grade and hypoallergenic. In general, avoid cheap materials that may cause a reaction.
  • Surgical titanium: Another surgical-grade metal. If you're very sensitive to nickel, titanium may not be the best choice, as it contains trace amounts.
  • Low karat gold or platinum: Fine metals like gold and platinum are also a pretty safe choice. Remember, it's worth it to pay more for something quality–avoid cheap gold or gold plating, which can flake off and cause infection.
Article Sources
Byrdie takes every opportunity to use high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial guidelines to learn more about how we keep our content accurate, reliable and trustworthy.
  1. UW Health. Body piercing healing times.

  2. Anson G, Kane MA, Lambros V. Sleep wrinkles: facial aging and facial distortion during sleepAesthet Surg J. 2016;36(8):931-940. doi:10.1093/asj/sjw074

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