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Your doctor would first examine the infected site to ensure that it has not caused any complications further. A conch piercing is a perforation of the ear cartilage for the purpose of inserting and wearing a piece of jewelry.
The inner conch piercing is located in the center ear cartilage, adjacent to the ear canal.
The piercing itself is made with a large gauge hollow piercing needle, and barbell jewelry is usually worn during the healing and stretching period.
The name of this piercing is derived from the similarity in appearance between the outer ear (pinna) and the conch shell.
The outer conch piercing is located in the outer ear cartilage, in the flat part of the top, outer ear. This piercing is done with a large gauge piercing needle and a curved barbell, a large-diameter CBR (captive bead ring), or a single-flare plug or tunnel. Conch (disambiguation) — A conch is a type of gastropod or sea snail, especially of the family Strombidae. Inner Conch — Conch Piercing (7) Ein Conch Piercing ist ein bestimmtes Piercing durch die Ohrmuschel. Outer Conch — Conch Piercing (7) Ein Conch Piercing ist ein bestimmtes Piercing durch die Ohrmuschel. Horizontal Lobe Piercing (also called Transverse Lobe Piercing) – a piercing through the length of the lobe that lays horizontal.

Anti-tragus Piercing – a piercing of the fleshy nub that protrudes from the ear rim just across from the tragus.
Rook – a piercing of the inner rim where it meets the outer rim at the top inside edge of the ear. Daith – a piercing of the fold of cartilage where the outer rim of the ear meets the face. Stay tuned for next time when I’ll be going over the names and placements of all the facial piercings! While it is largely considered the same basic portion of cartilage; the picture you have is more commonly considered a Forward Helix piercing.
What is the piercing called in the ‘conch’ picture, the open circle in the lobe? It is better to check the ears daily for infection, swelling and discharge of fluid to assure that the pierced ears are in good condition. It can be either an inner or outer conch piercing, depending on the exact location on the ear. After sufficient stretching, an open earlet or similar piece of body jewelry can be worn in the healed piercing. Once the piercing goes to the "curled" edge of the ear it is no longer an outer conch piercing, but a helix piercing. Es wird unterschieden zwischen dem Inner Conch (innerer Conch) und dem Outer Conch (au?erer Conch).

It is good to wipe off the ears with mild alcohol daily to avoid any infection on the ears. Sometimes the skin has to be peeled away for removing severe infection on the piercing site. With both stretching and dermal punching, this becomes nearly permanent as the body cannot replace cartilage, and the skin will only cover so much of the hole.
In case of infection, the initial symptom would be foul smell emanating from the infected ears followed by irritation and swelling.
When the infection is not treated for long time, it may affect the surrounding tissue and can cause damage to the ear. When the piercing is smaller than a 16 gauge there is a risk of having it pulled out, rip, or become irritated much more easily.
There may be crusty leakage of fluid from the affected part of the ear which is a sign of infection.

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