In this entry I am going to cover piercing rejection. I have searched out several articles on the internet, and read through them. Some of them were completely unbearable to read because they were inaccurate, while others were terribly incomplete. I’m going to try to cover as much about this subject as I can without overwhelming or boring you. The best article I have found out there so far is on BME’s wiki. I would recommend reading it if you need more technical information, or are considering getting a surface piercing done.
Rejection defined:
re⋅jec⋅tion /rɪˈdʒɛkʃən/ [ri-jek-shuhn]
n.
- The act of rejecting or the state of being rejected.
- Something rejected.
- Medicine The failure of a recipient’s body to accept a transplanted tissue or organ as the result of immunological incompatibility; immunological resistance to foreign tissue.
- Piercing The act of the body slowly forcing a foreign object from your body, much like if you get a splinter in your thumb.
Before we proceed I am going to clarify a couple of things that I found that can be argued as not quite true. First, some people out there argue that cleansers can be the sole cause of rejection. This can be a factor in your piercing not healing properly, and thus it may start to reject. Generally this will not be the sole factor in the rejection, nor is it the only cause of rejection.
Second, all piercings are at risk of rejecting, and I do mean ALL PIERCINGS. Some piercings are at a much higher risk of rejecting than others, such as surface piercings.
A surface piercing is a piercing that spans from one surface of an area of skin to another, instead of going through a part of your anatomy. Most people do not know this but both navel and eyebrow rings are surface piercings. This is why they tend to have more issues with rejection and migration than other popular piercings.

This is a rejecting surface piercing in its beginning stages.
The end stages of a rejecting Madison.
This should have been taken out long before it got to this point. This will be a nasty scar, and kind of makes me want to puke a bit.
The signs of piercing rejection are:
-Constant soreness and sensitivity.
-The skin over the jewelry being thin enough for you to see the bar through it.
-The jewelry hangs differently, more loosely than it used to.
-The hole around the piercing looks larger.
-The piercing is being held in by much less skin than it used to be. If you take the jewelry out you can see two long scars that look like indents on both side of the piercing. This is a common sign of rejection on older piercings.
If you are experiencing any of these signs, talk to your piercer. They will probably recommend that you take the jewelry out and let the piercing heal. The relationship is over, even if it has just begun.
Now that we have a basic understanding of the nature of the issue, we can move on to the serious stuff. The following is a list of contributing factors to piercing rejection as sourced from BME’s wiki on rejection. I have changed some of the wording and gone a little more into depth with the explanations.
Factor 1: Up-pressure – The jewelry used for the piercing puts pressure on the skin above it. In some cases this puts stress on the tissue and cuts off the blood supply to it, causing it to die. The dead skin falls off and the cycle repeats until you are left with almost no skin to hold the jewelry in, or it just falls out, leaving you with an ugly scar.
Factor 2: General Damage – Whenever you get a piercing damage is done to the surrounding tissue, which weakens it. After the damage is done your body immediately begins to heal itself, and in some cases begins to reject any object that may be in a wound. Remember, a piercing is an intentional wound, but a wound none the less and your body is going to treat it as such.
Factor 3: Motion- If the piercing is placed in an area that moves a lot, it greatly increases the risk of rejection. All of that twisting and turning and bending that your flesh does is transferred to the entire piercing, including the entrance and exit holes.
Factor 4: Impact- Each time that something bumps into your piercing it can damage it. Even if it is just clothing or accessories, it can still do damage to your piercing.
Factor 5: Drainage- The crusties on the ends of a new piercing are normal. They are from deceased tissue from the area and the cells that were sent up to help that also expired after their job was done. If a piercing is too long, or the exit holes are blocked this can prevent the piercing from draining properly.
Factor 6: Changing the Jewelry Too Soon- If you change the jewelry in a piercing before it is healed you can cause a piercing to start migrating and rejecting. This is because the jewelry that is worn in a piercing after it is fully healed is far too short for a healing piercing.
The best way to prevent rejection is to get pierced by someone that knows what they are doing. I can not stress the importance of this enough. I have seen plenty of messed up, rejecting piercings done by inexperienced piercers. Make sure you look at the artist’s portfolio. If you are getting a surface piercing or dermal anchor, looking at the artist’s portfolio is especially important. Make sure they can show you pictures of successfully healed surface piercings that they did.
Remember ANY PIERCING CAN REJECT at ANY TIME for NO REASON other than your body will not tolerate a piercing in that area.
And always, if in doubt go get it checked out.