Federica Giacomazzi / Stocksy
Key Takeaways
- Piercing bumps can be caused by the body's immune response, jewelry allergies, or tissue damage.
- Cleaning piercings daily with mild soap and avoiding irritating factors can help minimize the risk of bumps.
- Treatments for piercing bumps include salt soaks, herbal remedies, and, if necessary, medical interventions like cortisone shots.
Are piercing bumps dampening your new-piercing joy? Before you begin to panic, it's important to know that your newly-formed bump doesn't have to be a permanent fixture. We spoke to the pros for all the details on how to treat a piercing bump and minimize the risk of developing them in the first place. And before you go blaming yourself, know that piercing bumps are common and can occur even with the most meticulous aftercare. So, while there are best practices to try and prevent their arrival, sometimes bumps just happen– and if they do, we can help!
Now, let's move on to identifying the right treatment. From compression therapy and switching out your jewelry (after getting the "OK" from a pro) to DIY solutions and cortisone shots, keep scrolling for the best treatments and prevention methods that piercing experts and dermatologists swear by.
Meet the Experts
- J. Colby Smith is a professional piercer based in Los Angeles.
- Hadley King, MD. is a board-certified dermatologist in New York City.
- Alexandra Moench, DNP, is a board-certified nurse practitioner at New York's Schweiger Dermatology Group.
- Marisa Garshick, MD, is a Manhattan-based board-certified dermatologist.
- Johnny Pearce is a professional piercer in New York City.
What Is a Piercing Bump?
Piercing bumps "can be the body's immune system responding to the wound from the piercing, causing some localized inflammation which, in turn, causes the bump," explains nurse practitioner, Alexandra Moench, DNP, at Schweiger Dermatology Group. She notes while this process is sometimes benign, "in some cases, the underlying cause may be something other than inflammation and may need medical intervention to resolve." Some specific types and causes of piercing bumps include:
- Granulomas: "The body's immune system can wall off a foreign body (the piercing) or infection with inflammatory cells, forming a granuloma," says board-certified dermatologist Hadley King, MD. Granulomas are usually benign.
- Keloids: "A keloid is a kind of raised scar," explains Dr. King. "Keloids can be challenging to treat, but there are treatment options that can make them smaller."
- Allergic reaction or infection: "In some cases, piercing bumps may be related to a cyst or an allergy," says board-certified dermatologist Marisa Garshick, MD. "If treated, these will resolve over time, but the piercing may need to be removed to treat them," adds Dr. King.
- Tissue damage: "Damaged tissue can become inflamed and swollen, creating a bump," says Dr. King.
- Genetics: Forming any piercing bump might just come down to the (un)luck of the draw. "Importantly, it can be hard to predict if a bump will occur, and there may be a genetic component to it as well," says Dr. Garshick.
How to Treat and Prevent Piercing Bumps
Identify and Remove the Irritant
The bad news: Many things can lead to the formation of a piercing bump. As such, it's important to investigate what actions and aspects of your day-to-day routine could be irritating.
"It can be helpful to eliminate any potentially irritating or aggravating factors, including excess trauma or pressure on the piercing," says Dr. Garshick. For example: "If the piercing is on the ear, avoid using headphones or other objects that may occlude the area."
Professional piercer, Johnny Pearce, tells us common irritants include bumping, snagging, or sleeping on new piercings; airplane travel and cabin pressure; touching the piercing with dirty hands; skincare and beauty products; and jewelry.
But the good news? Remove the irritant, and the rest will follow.
Check Your Jewelry
Smith recommends checking that your jewelry is a proper fit and allows enough room for swelling. You'll also want to investigate your materials: Are your studs, hoops, or CBRs (captive bead rings) made of surgical stainless steel, surgical titanium, niobium, or Tygon (a surgical plastic)? "Some people can develop an allergy to certain types of metals commonly found in piercings, such as nickel, so it may be important to avoid certain types of metals, particularly if you have sensitive skin," says Dr. Garshick.
If you're unsure about the state of your jewelry, visit your local trusted professional piercing studio. They can help you pick a more suitable piece of jewelry and may even change it out for you, too, so there's no reason to do it yourself. Once it's in, leave it there until your bump is completely healed. Rotate it occasionally if possible, but only after healing.
Clean the Piercing
"At the end of the day, [piercing bumps] come from irritation," says Smith. "The body does not like the foreign object, so we need to gently convince the body to heal around it rather than fight it. I find most people don't take great care of their piercings until there is a problem—then they care a lot. My advice is to be proactive from the start. Keep it clean and be careful with it."
Cleaning your piercing daily with a mild antibacterial soap can be the key to eliminating abscesses or cysts. "It is important to clean the area regularly with a gentle cleanser to minimize the potential for infection," says Dr. Garshick.
Mix Up a Salt Soak
If you've had a few piercings in your life, you've likely already heard the age-old instructions to treat it with a saline solution. Unsurprisingly, the same wisdom applies to healing a piercing bump. Dr. King recommends salt solutions, noting they may work to draw out impurities, clean infected areas, and loosen dead skin cells and dried pus. Saline solutions are essentially sterile, commercially packaged salt solutions, but you can easily concoct your own at home.
Byrdie Tip
Mix 1/8 teaspoon of sea salt with water, and soak your piercing blister three times a day until it is completely gone. This can also help to remove discharge from your piercings.
Try Herbal Remedies
Salt soaks usually treat pesky piercing irritations, but certain bumps may call for an herbal compress, like a chamomile tea bag soaked in hot water. Smith recommends applying a hot compress with a chamomile tea bag to the bump nightly. The heat helps draw out some of the irritation while chamomile helps reduce inflammation, he explains.
If that's not working, he suggests moving on to apple cider vinegar. Tape a small piece of cotton soaked in apple cider vinegar to the bump overnight. This will turn the bump white, then purple, then black, and, eventually, it will fall off like a scab in a few days.
Reduce Friction
Granulomas can occur when jewelry moves around, so do your best to prevent snagging, bumping, or friction. If you have a cartilage piercing, for example, sleeping on a silk pillowcase would be optimal, as the threads on a cotton pillowcases could lead to unintentional snagging.
Consider Compression Therapy
"We've also been successfully treating irritation bumps using what I call 'compression therapy,' which utilizes the gentle but constant compression of a larger titanium disk on the bump, encouraging it to dissipate even more quickly," Pearce says. Note: You'll definitely want to leave this route to the pros and pay a visit to your piercer.
Massage With Oil
Hypertrophic scarring, the most common piercing bump, is caused by increased collagen due to trauma in and around the piercing site. It usually occurs in a cartilage piercing (upper ear or nose). If this sounds like what you're dealing with, consult a professional and have them size down your jewelry gauge to avoid undue pressure on the wound. Then, perform a daily, gentle oil massage with rosehip seed oil, which is perfect for various skin types and gives you added hydration benefits to soften the scar tissue over time.
Apply an Ointment
"While piercing bumps can be hard to prevent, they can be treated or addressed with different topical creams or ointments or antibiotic ointments such as a prescription called mupirocin ointment, or topical steroid creams to reduce the inflammation," says Dr. Garshick.
Reduce Inflammation
Healing starts from the inside out and the best way to deal with most bumps is to treat the inflammation. Moench recommends non-steroidal anti-inflammatory drugs (NSAIDs) like aspirin or ibuprofen to reduce inflammation.
Get a Shot of Cortisone
If the infection persists, "take a trip to the dermatologist for a shot of cortisone (I recommend this a lot to my actor or model clients as they need a quick fix before they get in front of the camera)," says Smith. Adds Dr. Garshick: "In-office treatments, such as cortisone injections, can also help to reduce swelling and inflammation associated with healing or scar tissue."
See a Doctor
Of course, sometimes, you just have to make an appointment with your dermatologist or GP. "If a piercing bump is persistent despite over-the-counter remedies, becomes painful, or is associated with worsening redness or systemic symptoms such as fever, it is important to check with a doctor," says Dr. Garshick.