What to Know About Conch Piercing

Written for Medical Realities by Meghan Gessner on September 2, 2025

What Is a Conch Piercing?

A conch piercing goes through the “bowl” of your ear—aka the concha. That bowl has two zones: the upper cup (cymba) and the lower cup (cavum). It’s all cartilage, which is tougher than your earlobe, so it takes longer to heal and needs extra care to dodge infections.

Types of Conch Piercings

  • Inner conch: Sits in the center cup near the ear canal. Low-profile studs (flat backs) are the crowd favorite here so headphones and hair don’t snag.
  • Outer conch: Placed on the flatter area between the helix (outer rim) and antihelix. Hoops look great once you’re healed, but studs are the smart starter.
  • Double conch: Two conch piercings—either stacked inside the inner cup, or one inner + one outer for a layered look.

How Is a Conch Piercing Done?

Go to a licensed pro who works clean and uses sterile, single-use tools. The exact approach depends on your anatomy and the look you want.

  • Methods: Most piercers use a thin, single-use needle. Some studios may use a dermal punch for certain outer conch placements to create room for larger jewelry. Your piercer will walk you through options and aftercare for either method.
  • Step-by-step: You’ll confirm placement in the mirror, the area gets cleaned and marked, the piercing is done, jewelry goes in, any minor bleeding is controlled, and everything gets cleaned again before you head out with an aftercare plan.

Does a Conch Piercing Hurt?

It’s cartilage, so expect a sharper pinch than a lobe and a short, dull throb afterward. Pain is quick, not all-day. Right after, it’s normal to see some redness, mild bruising, swelling, or a little blood.

  • First weeks: Tenderness, itchiness, and some color changes are common. You might see a pale, crusty fluid on the jewelry—that’s typical wound drainage while it heals.
  • Numbing? If you’re nervous, ask your piercer about safe cooling (like an ice pack before the appointment). They’ll let you know what’s appropriate in their studio.

What to Expect After a Conch Piercing

What’s Normal While It Heals

Your conch is basically an intentional wound in cartilage, so some drama is expected at first. Typical healing stuff includes a little bleeding, mild swelling, light redness or bruising, itchiness, and a whitish-yellow crust that dries on the jewelry (that’s normal lymph fluid, not pus). Tender to the touch is standard.

Conch Piercing Healing Time

Cartilage heals slow. Earlobes can be fine in ~6 weeks, but a conch usually needs 4–12 months for a truly stable heal. It often looks healed on the surface way before the inside is ready—keep aftercare going the whole window and keep jewelry in place (even old piercings can close if left empty).

Healing Tips (Do’s & Don’ts)

  • Hands off: The less you touch, the fewer problems. No twisting, spinning, or “breaking crusties.”
  • Skip pressure: Don’t sleep on that side. Use a travel/donut pillow to keep the ear floating.
  • Avoid irritation: Keep hair, hats, helmets, glasses arms, and headphones from rubbing or snagging.
  • Keep it clean: Wash pillowcases/bedding often. Wipe down phones, glasses, headphones, and anything that touches your ear.
  • Hold the extras: No charms or heavy hoops until fully healed. Stick with your starter stud until your piercer clears a swap.
  • Lifestyle matters: Minimize excessive alcohol, nicotine, recreational drugs, and even heavy caffeine—they can slow healing.
  • Product perimeter: Keep lotions, makeup, hairspray, and dry shampoo away from the piercing channel.

How to Clean a Conch Piercing (Safe Method)

  • Wash hands first with soap and water.
  • Use sterile saline wound wash 1–2× daily. If you DIY, mix ¼ tsp non-iodized sea salt into 1 cup (240 ml) warm sterile or distilled water to make an isotonic soak.
  • Soak or compress: Gently soak the area or hold a saline-soaked gauze/pad on it for 5–10 minutes. Let warm shower water soften buildup first.
  • Pat dry with a clean paper towel (not cloth—less bacteria, no lint).
  • Do not use alcohol, hydrogen peroxide, witch hazel, or ointments—they’re too harsh and can slow healing.
  • Do not turn/twist the jewelry—movement irritates cartilage and invites bumps.

What Can Trigger an Infection

  • Unsterile tools or a sketchy environment
  • Removing or changing jewelry too early
  • Touching with unwashed hands or over-cleaning/overhandling
  • Skipping daily saline care
  • Swimming in pools, hot tubs, lakes, or the ocean before you’re healed

Signs of a Possible Infection

  • Thick yellow/green/gray discharge with odor (not the normal light crust)
  • Spreading redness, warmth, or swelling that’s getting worse
  • Increasing pain or throbbing
  • Fever, chills, nausea, or feeling unwell

If you see those red flags, keep the jewelry in (so the channel can drain) and check in with a healthcare pro. Your piercer can help troubleshoot fit and aftercare, too.

Conch Piercing Risks

Infection: common, fixable

A fresh conch is an open wound in cartilage, so mild redness, tenderness, and a little clear/yellow crust is normal. If you think it’s crossing into true infection territory, call your health care provider. Most ear infections caught early respond well to proper care and, if needed, meds.

Serious but less common issues

Bloodstream infections

Choose a studio with a solid rep that uses single-use, sterile needles and properly sterilized tools. Dirty conditions can expose you to blood-borne infections like hepatitis B/C or tetanus. Make sure your routine vaccines are up to date before you get pierced.

Keloids (raised scars)

Keloids are overgrowths of scar tissue that spread beyond the original wound. They may show up 3–12 months after piercing. If you’re prone to keloids, skip cartilage piercings. Treatment depends on size and symptoms and can include:

  • Corticosteroid injections
  • Surgical removal
  • Cryotherapy (freezing)
  • Laser therapy
  • Radiation therapy (select cases)

Allergic reactions

Nickel is the usual culprit. Plenty of “gold” jewelry still contains nickel, especially if it’s low-karat or plated. Start with metals that are truly nickel-free and safe for new piercings.

Conch Piercing Rejection

“Rejection” is when your body gradually pushes the jewelry toward the surface until it’s barely held in. It’s not super common, but it happens—sometimes due to harsh products, constant pressure/snagging, stress, or just bad luck.

Watch for:

  • Thinning tissue: The skin between the entry/exit holes keeps shrinking. If there’s ~¼ inch or less—or you can practically see the jewelry through a thin, shiny layer—flag it.
  • Chronic irritation: Peeling or flaking skin, persistent redness/inflammation, hard/calloused tissue between the holes.

If you suspect rejection, don’t wait. See your piercer ASAP; you’ll likely need to remove the jewelry to prevent scarring.

Choosing Jewelry for a Conch Piercing

Go picky here—fresh cartilage needs implant-grade, nickel-free metals from reputable sources. Ask your piercer to show you the material specs (ASTM/ISO codes).

Stainless steel (only certain grades)

Use body-safe, implant-appropriate steels:

  • ASTM F-138 or ISO 5832-1
  • ISO 10993-(6, 10, or 11) biocompatibility
  • Compliance with the EU Nickel Directive

Titanium (top choice for sensitivity)

Lightweight, nickel-free, and highly biocompatible. Look for:

  • ASTM F-136 (Ti-6Al-4V ELI)
  • ASTM F-1295
  • ISO 5832-3
  • Commercially pure titanium ASTM F-67

Niobium

Biocompatible and nickel-free; not formally “implant grade,” but widely used and well-tolerated for piercings.

Gold

Stick to solid 14k–18k (no nickel, no cadmium), made for body wear. Avoid plated, filled, vermeil/overlay on fresh piercings—they can flake and irritate. Skip >18k for new piercings (too soft for dating).

Platinum

Excellent and inert, just pricier and less common in piercing jewelry.

Glass

Only certain glasses are safe for initial wear:

  • Fused quartz
  • Lead-free borosilicate
  • Lead-free soda-lime
Material (specs to ask for)Typical U.S. Price* (starter piece)Durability / LifespanHealth Risk (new conch)ProsWatch-outs / Notes
Implant-grade Titanium (Ti-6Al-4V ELI)
Ask for: ASTM F-136 or CP Ti ASTM F-67
$30–$80 (stud); $40–$120 (hoop)Excellent; essentially indefinite with careVery low (nickel-free, top choice for initial)Lightweight, hypoallergenic, can be anodized for color, autoclave-safeVerify real specs; avoid cheap coated “titanium” and PVD plating on fresh piercings
Niobium (pure)$30–$70Excellent; long-termVery low (nickel-free)Great for sensitive ears, can be anodized, good for ringsNo formal “implant-grade” standard—buy from reputable makers; a bit softer, can scratch
Implant-grade Stainless Steel (316LVM)
Ask for: ASTM F-138 / ISO 5832-1
$20–$60Very goodLow (contains small nickel; avoid if nickel-sensitive)Affordable, polished finishes, widely available“Surgical steel” alone is not a spec—ask for F-138; may bother nickel-reactive folks
Solid Gold (14k–18k, nickel-free)$80–$250+ (stud); $120–$400+ (hoop)Excellent (harder at 14k; 18k is softer)Low if nickel-freePremium look, biocompatible alloys, easy to maintainAvoid plated/filled/vermeil; skip >18k for fresh piercings; white gold should be nickel-free (palladium alloy)
Platinum$200–$400+Outstanding; very inert & denseVery lowHypoallergenic, durable shine, truly inert metalHeavier weight; expensive; fewer style options in piercing lines
Glass (fused quartz, lead-free borosilicate/soda-lime)$15–$40Good if not impacted; can chip/crackLow (non-porous, smooth)Inert, autoclave-safe, great surface finishUse only lead-free types; impact can break; shapes for studs are less common than metal
PTFE / Bioflex (medical-grade)$10–$25Fair; threads can wear, needs periodic replacementLow–moderate (safe if medical grade)Flexible, MRI-friendly, useful during medical procedures or swellingMovement can irritate new cartilage; not every studio recommends it for initial conch
Silver (Sterling .925)$10–$40Tarnishes over timeModerate (not for fresh piercings)Classic look for healed piercingsCan tarnish and irritate; avoid for initial conch; verify no nickel in alloy
Acrylic / Generic Plastics$5–$15Poor; scratches, degrades, not autoclave-safeHigher (porous, harbors bacteria)Cheap, lightweight, fun colors for healed piercingsAvoid for new cartilage; use only in fully healed piercings if at all
*Price ranges are typical U.S. studio prices for starter studs/hoops; big-city boutiques and solid gold/platinum pieces run higher. Always ask for material specs (ASTM/ISO codes), a mirror polish, and internal-thread or threadless posts. Most hospitals ask you to remove all jewelry for MRI—even titanium—so plan ahead.

Conch Piercing — FAQ for the U.S.

What exactly is a conch piercing?

It goes through the “bowl” of your ear (the concha). You can pierce the inner conch (closer to the canal) or the outer conch (flatter area toward the rim). It’s cartilage, so it heals slower than a lobe.

Does it hurt?

Expect a sharp pinch and a short ache—more than a lobe, usually less than an industrial. Pain tolerance varies, but the jab is quick. Tenderness for a bit after is normal.

How long does a conch piercing take to heal?Timeline

4–12 months is normal for full, stable healing. It often looks healed on the outside before the inside is ready—keep aftercare going the entire window.

How much does a conch piercing cost in the U.S.?Money

Typical studio fee $35–$80 (piercing only) plus jewelry. Safe starter jewelry ranges $30–$150+ depending on metal (titanium/steel vs. solid gold). Big-city boutiques trend higher.

Hoop or stud to start?

Start with a flat-back stud (or post) to limit motion and snagging. Hoops can rotate and irritate fresh cartilage. Switch to a hoop once your piercer says you’re healed.

What jewelry materials are safest for a new conch?Specs
  • Titanium (ASTM F-136 / F-67) – top choice, nickel-free.
  • Implant-grade steel (ASTM F-138) – great, but contains trace nickel (avoid if sensitive).
  • Niobium – nickel-free, comfy, widely used.
  • Solid 14k–18k gold (nickel-free) – premium; avoid plated/filled for fresh piercings.
  • Platinum – inert, pricey.

Ask to see the ASTM/ISO specs. If it’s plated or mystery metal, skip it.

How do I clean it (without overdoing it)?

1–2× daily with sterile saline or an isotonic sea-salt soak. Pat dry with a clean paper towel. No alcohol, peroxide, witch hazel, or ointments. And don’t twist the jewelry.

Can I sleep on it or wear headphones/helmets?

Avoid side-sleeping on that ear until healed. Use a travel/donut pillow so your ear “floats.” Be cautious with headphones, hats, glasses arms, and helmets—they can rub or snag.

What’s normal vs. infection?

Normal: mild redness, swelling, tenderness, light clear/whitish crust.

Get help: worsening heat/redness, thick yellow/green discharge with odor, increasing pain, fever/chills. Keep jewelry in (so it can drain) and contact a pro.

I’ve got a bump—irritation or keloid?

Most bumps are irritation bumps (pressure, snagging, over-cleaning). Fix the cause, adjust jewelry fit, and be patient. Keloids are raised scars that grow beyond the wound—if you’re keloid-prone, cartilage piercings aren’t recommended. See a clinician for diagnosis.

Can I swim, hit the beach, or soak in a hot tub?

Best to avoid pools, lakes, ocean, and hot tubs until you’re well healed—those waters are bacteria playgrounds. If you must swim, rinse with sterile saline right after and dry carefully.

Can a conch piercing help migraines?

There’s no solid clinical evidence that conch (or daith) piercings treat migraines. If you’re curious, talk with your doctor about proven options—and get pierced for style, not medicine.

Is a piercing gun OK for a conch?

Nope. Cartilage should be pierced with a sterile, single-use needle. Guns can crush cartilage and aren’t sanitary for this job.

When can I change the jewelry or downsize the post?

Your starter post is longer to allow for swelling. A piercer can downsize after the initial swell phase (often 6–10 weeks). Full swaps (like a hoop) usually wait until you’re healed—timeline varies by person.

What about MRIs and medical procedures in the U.S.?

Hospitals often ask you to remove all jewelry for MRI or surgery, even titanium. Keep a non-metal retainer handy once healed, or plan a pro removal/reinsert with your studio.

Can teens get a conch piercing? (U.S. rules)

Age limits and consent laws vary by state and studio policy. Many U.S. studios require a parent/guardian in person with ID for minors, and some only do cartilage at 16–18+. Call ahead.

What’s rejection or migration with a conch?

Rare, but the body can slowly push jewelry toward the surface. Signs: thinning skin over the post, jewelry “creeping,” chronic irritation. See your piercer—removal may be needed to prevent scarring.

Any day-to-day pro tips for smoother healing?
  • Keep hair products and makeup off the channel.
  • Sanitize phones, glasses, and headphones.
  • Change pillowcases often and avoid sleeping on it.
  • Avoid pools/hot tubs; rinse with saline if you get sweaty.
  • Less alcohol/nicotine = faster healing.

Medical content creator and editor focused on providing accurate, practical, and up-to-date health information. Areas of expertise include cancer symptoms, diagnostic markers, vitamin deficiencies, chronic pain, gut health, and preventive care. All articles are based on credible medical sources and regularly reviewed to reflect current clinical guidelines.