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Ear piercing:
General Guidelines

The ears
CAFLON ear piercing is a quick, profitable safe and popular salon / clinic service, which also has the potential to generate new customers/ patients. CAFLON may be the client's first reason to
visit you, and the service she receives may encourage her to return for further services.

The structure and function of the lobe:
The external ear collects sound waves (and directs) these to the inner ear. The part of the ear that is commonly seen pierced is called the pinna, which comprises the helix and lobule. The helix is composed of cartilage, which does not heal quickly and can form lumpy scar tissue, it is therefore considered unsuitable for piercing. The lobule, in contrast, consists of fibrous and fatty tissue with no cartilage, and is therefore suitable for piercing.

When making an appointment for this service, allow 10 minutes to pierce two ear lobules. Although ear piercing is completed quickly, time must be allowed to explain the procedure and to give clear concise aftercare instructions.
If the client is under 18 years of age, it is necessary for a parent to give consent for the ear piercing.
Contra- indications to ear piercing should be checked for. If the area for piercing is unsuitable, politely explain to the client why this is so.
Explain the simple treatment procedure. Most clients will be interested to know what to expect - usually the clients first question is " Will it hurt?"
Prepare the equipment required for ear piercing, and show the client the range of studs available.
Some receptionists are trained to carry out this service. This is practical: many clients will be acting on impulse and will not have made an appointment.

In certain circumstances, you should not carry out the ear piercing treatment. Use your professional judgement to assess the suitability of each client.

  • If client is particularly nervous, it would be inadvisable to pierce her ear - she might faint or jump whilst the treatment was being carried out, causing incorrect placement of the
  • Nose piercing should not be carried out in the beauty salon, for reasons of practicality and hygiene. Nose piercing should ideally be carried out by the plastic surgeon.

If any of the following are present, do not proceed with ear piercing:

  • Diabetes - the skin is very slow to heal, so infection of the area would be a strong possibility.
  • Epilepsy - the stress before the treatment and the possible shock incurred during it might induce a fit.
  • Skin disease or disorder.
  • Hepatitis B or HIV-though the client may not know that she is a carrier, or may choose not to disclose the fact if she does (hygienic practice is vital, for this reason).
  • Inflammation of the ear.
  • Open wounds, cuts or abrasions in the area.
  • Moles or warts in the area.
  • Circulatory disorders, such as high or low blood pressure.
  • A predisposition to keloid scarring - lumpy scar tissue ( black skin often forms keloid scar tissue following skin healing).

Where there is any contra - indication to ear piercing, the client must seek written permission from her physician before treatment can be carried out.
Children may receive this service only if approval has been given in writing by the parent or guardian, and the disclaimer form signed.

Equipment and materials
You will need the following equipment and materials:

  • CAFLON ear piercing gun - one that can use regular as well as mini size ear studs
  • CAFLON studs - a variety of styles and designs to accommodate differing client preferences. These are made from nickel free surgical grade stainless steel plated with 24
    kt gold. CAFLON earrings are always supplied in sealed and sterilised blister packs.
  • Pre - packed alcohol tissues (2) or cleansing solution - used to cleanse the ear area.
  • Surgical spirit - for cleaning the gun after use.
  • Clean cotton wool - apply the surgical spirit.
  • Disposable rubber gloves - to ensure a high standard of hygiene and to reduce the possibility of contamination
  • Waste bowl.
  • Pedal bin ( with liner).
  • Head band (clean) or clip - hold the hair away from the ear during ear piercing.
  • Hand mirror (clean) - to show the client the proposed placement of the earrings, after marking and after the ear piercing.
  • Client's record card.
  • After care instruction leaflet - for the client to keep

Sterilisation and sanitation
The working area should be kept clean. The floor covering should be such that the surface can be cleaned with a disinfectant and hot soapy water: work surfaces likewise should be washed regularly with hot soapy water and wiped with a disinfectant.

Activity : Personal cleanliness
Keep the marker pen in a safe hygienic place - if left out, somebody might mistake
it for an ordinary felt tip - pen
Some salons that offer the ear piercing service also sell earrings, Those designed for pierced ears should not be tried on by a client, in the interest of health and hygiene. (Although there have been no reported cases of transmission of hepatitis B or HIV in this Way, all possible risks should be avoided).
If you have any cuts on your hands or fingers, these should be covered with a clean dressing before you treat the client. It is preferable to wear disposable gloves.
The CAFLON gun approved for piercing is designed so that it does not come into contact with the client,s pierced skin, and is used with pre sterilised ear studs and ear clasps. The studs are provided in sterile packs. CAFLON earrings give a date after which their sterility can no longer be assumed. This date is normally indicated on the sealing paper.
All consumable materials used during the ear piercing treatment should be placed in a covered, lined waste bin and disposed off in a sealed bag.

Preparing the cubicle
Ear piercing can be carried out either in a private cubicle or at reception. Use your discretion to decide which would be more appropriate.
Good ventilation is important-some clients may feel faint following the treatment.
The client should sit in a chair at a comfortable height for you.

Preparing the client
If the position of the stud has not already been marked, do this now.

  1. Wash your hands and apply a fresh pair of disposable gloves.
  2. Thoroughly cleanse the back and the front of the clients earlobes. Allow the skin to dry. (If moisture is present, the mark will blur.)
  3. Holding a mirror in front of the client, discuss with her where the stud should be placed. Mark the position using the non-toxic skin marker pen.
As you cleanse the clients ear lobes you may notice that her skin, ear or hair is dirty. You may proceed, but when giving her the aftercare instruction politely and
tactfully point out the importance of cleanliness in preventing secondary infection.
Remember that the ears are not at the same level on each side of the head, and protrude at different angles. Take time when marking the position of studs, to ensure that the final appearance is balanced .
Studs are preferable to hooped earring or sleepers, as dirt is less likely to the stud and infect the ear

Contra - actions
Redness, swelling,inflammation and the exudation of serum (weeping ) all signify that the ear is infected. If this occurs, the client should contact the salon. Depending on what she describes, it may be possible to give her adequate instruction over the telephone or it may be necessary to make an appointment for the therapist to look at the ear. If following action by the therapist the infection persists, the client should be advised to contact her physician. Infection usually results from incorrect aftercare, removing the studs too early, or wearing cheap earrings. Closed holes are caused by removing the studs too early, or by not continuing to wear earrings after the removal of original studs.
Keloids - overgrowths of scar - sometime occur at the site of ear piercing. If a client suffers from keloids, advise her not to have her ears pierced move than once - further keloids tissue could
develop, giving an unsightly appearance.

Try to aim for a central position on the ear
lobe - this will achieve the result.
Always hold the gun either horizontally or backwards, Never point the gun downwards once it has been loaded - if you do, the studs will fall out.

Aftercare and advice
After the ear piercing treatment the client should be given clear instructions on how to care for her ears to prevent secondary infection. The studs must not be removed for six weeks. Invite the client to return to the salon after the six - week period for you to remove the studs. Remind the client always to wash her hands before cleaning the ear area. (If someone else is going to clean the ears, she also must wash her hand with soap and warm water before touching the clients ears.) The ears should be cleaned twice daily, using an eau de cologne or surgical spirit. The lotion may be applied as
directed by the manufacturer. If surgical spirit is used, this should be applied to clean cotton wool, and the cotton wool squeezed to allow the surgical spirit to run around the stud, at the front of the
ear and then at the back. Whilst the ears are being bathed with the cleansing solution ,the stud should be rotated by holding by holding it firmly at the front.

Remind the client that if an antiseptic lotion is applied to the ear area, it must be diluted as directed or skin burning may occur.
If the client's ears become slightly red, indicating a possible infection, she should cleanse the area more frequently.
If the client has fat lobes, explain that the studs may feel a little tight.

Even if the cleanses her ears effectively, infection could still occur in other ways. These include the following:

  • Long nails harbour germs. Infection of the ear can occur whilst
    the client is turning the stud.
  • The client may touch the stud and ear at times other than
    when cleaning the ear.
  • Shampoo and dirty water may collect around the ear whilst
    shampooing the hair. Remind the client to rinse the ear
    thoroughly with clean water after shampooing.
  • The client should protect her ears when applying hair laquer or
    perfume to avoid sensitising the ear.
  • Following the removal of the studs, the client should only
    wear gold earrings. Cheap fashion earrings should be worn
    only for short periods of time, or allergic reactions and ear
    infections may occur.
To avoid anxiety to the client, pierce the second ear without hesitation, yet safely.

After oral instructions have been given, the client should be provided with an aftercare leaflet containing these instructions.

Allow the client to sit still for a few minutes following the treatment. Offer her tea or coffee, Some clients may be
very anxious and need time to relax.
Ear Piercing at a Glance:
First clean both earlobes with antiseptic swabs, then....

Using the non-toxic marking pen, mark the exact sport for piercing on each earlobe.

Remove the mount from the blister.

Hold the instrument firmly at right angle to the mount, Gently slide the clasp retainer under one clasp and lift out.

Invert mount. Place head of one stud into opening in stud holder at tip of barrel. Lift mount straight up.

Pull the instrument into a cocked position by pulling back on the plunger until an audible click is heard.

Place instrument with clasp retainer at back of earlobe Aim tip of stud through aiming sight. Slowly squeeze, slide trigger to hold earlobe steadily.

Squeeze to fully closed position. Ear is now pierced with both stud and clasp in position.

Release trigger. Bring instrument straight down .(NOTE : Remove instrument directly from ear without recocking.)