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Why I Only Use Implant-Grade Titanium

Fresh piercings deserve metal that will not fight your body. I start nearly every piercing in ASTM F136 implant-grade titanium — not because it is trendy, but because it is what I would put in my own ear.

— Katelyn Cole, master piercer, Work of Art Las Vegas

What implant-grade means

  • ASTM F136 titanium is tested for long-term wear in the body — the same standard used in medical implants.
  • It is hypoallergenic for most clients — no nickel bleed like cheap fashion jewelry.
  • It is lightweight — important for cartilage that already heals slowly.

What I will not use on day one

  • Mystery 'surgical steel' from online retailers with no mill certificates.
  • Gold-plated fashion studs — the plating flakes inside an open wound.
  • Butterfly backs on fresh cartilage — see my butterfly back guide.

Katelyn's recommendation

  • Start titanium, upgrade to 14k or 18k gold on healed piercings when you are ready.
  • Keep every starter piece on file at the studio so downsizing is a swap, not a guess.

FAQ

Is surgical steel the same as titanium? No — 316L steel is fine for many healed piercings, but titanium is my first choice for fresh work and sensitive skin.

Related topics

Studio clip

Video library · Instagram

Skull & hourglass forearm — Joshua Cole, Work of Art Las Vegas

Real work from this studio

Real client piece
Skull & hourglass forearm
Artist
Joshua Cole
Time
Single long session
Placement
Forearm
Healed result
Readable from arm's length; client returned for a touch-up consult only.
Aftercare note
Desert-climate aftercare handout included — see our healing guide for saline and sun rules.

Fine grey transitions around the hourglass glass — the kind of piece that fails if values are too soft on day one.

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