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Ear piercing chart

This ear piercing chart is a diagram showing the names for each different type of ear piercing, together with their position on the ear. Scroll down for more info on types of ear piercing.

Ear piercing diagram

Industrial / scaffold / construction

Industrial ear piercing
Industrial ear piercing (top of ear). Credit: @djungelskogpop, TikTok

The classic industrial goes from roughly the upper outer helix (near the head) to the lower helix (toward the back) in a single straight line, like the photo above. However, there are variations where the two holes could be placed differently on the ear cartilage as long as a bar can connect them.

Vertical industrial piercing
Vertical industrial piercing. Credit @ellenmaisie TikTok

Healing an industrial piercing can be challenging: since two cartilage piercings are linked, they can irritate each other and any movement of the bar affects both sites. Many piercers consider this one of the more advanced ear piercings, and some may even suggest doing the two holes separately (with separate jewellery) until healed, then inserting a bar later.

  • Estimated healing time: 9 months to 1 year (sometimes longer)
  • Pain level: Moderate. Often rated around 5–6/10. Similar to helix but you get it twice in one sitting.

Lobe and upper lobe

Double lobe piercing
Double piercing in lobe and upper lobe. Pictured with an ear jacket earring in the bottom lobe piercing. Double piercings also allow for double piercing earrings.

Earlobe piercings are one of the oldest forms of body modification – even ancient mummies have been found with pierced lobes. In many cultures, ear lobe piercing is a rite of passage or a ceremonial tradition. Nowadays, plenty of people go for a double or even triple lobe piercing, creating a lot of opportunities for wearing threader earrings in a range of different ways.

  • Estimated healing time: ~6–8 weeks for initial healing. (It’s often advised to wait about 2–3 months before changing jewellery to be safe.)
  • Pain level: Very low – often rated around 1–2/10. The earlobe has little resistance, so most people feel only a quick pinch.

Helix

Helix ear piercing
Helix ear piercing (top right of the ear), worn with an additional ear cuff and double lobe piercings.

Helix piercings have surged in popularity and are now pretty common – mostly for fashion but some alternative medicine enthusiasts associate the upper ear with certain acupuncture points that help with insomnia and even allergies when stimulated.

  • Estimated healing time: About 6 months to 1 year (cartilage piercings heal slowly)
  • Pain level: Mild to moderate. 4–5/10.

Daith

Daith ear piercing
Daith ear piercing (hoop in centre of ear), worn with helix (top right of ear) and upper lobe piercing (with an ear climber).

The daith piercing is famous because many people get it hoping to relieve migraines. Anecdotally, some have reported fewer headaches after a daith. A dermatologist in one report noted that some studies and reports suggest piercing the daith might modulate pain receptors linked to the trigeminal nerve, potentially affecting migraine.

  • Estimated healing time: About 6–9 months on average, and up to 12 months for some. Daith piercings, being cartilage, heal slowly. Many find they can sleep on it after a couple of months.
  • Pain level: Moderate to high. Experiences vary: some say roughly 5/10 (a pressure rather than sharp pain).

Forward helix

Forward helix ear piercing
Forward helix ear piercing (see arrow, top right). Credit @tashastkn, TikTok

Another one that has grown in popularity – and triple forward helix piercings have been a bit of a trend.

  • Estimated healing time: Around 3–9 months for initial healing (sometimes up to 6–12 months for full healing, as with any cartilage).
  • Pain level: Moderate. Around 5–7/10. It tends to hurt slightly more than a standard helix because the tissue is firmer and the angle can be a bit awkward.
Triple forward helix
Triple forward helix – top left of the photo. Credit @crystalpointpiercing TikTok

Flat piercing (Scapha/Outer Conch)

Triple flat ear piercing
Triple flat ear piercing with a cute design – top of the photo. Credit @piercingspot TikTok

For this one, it’s popular to get a cluster of 2–3 flat piercings arranged in a pattern (sometimes called a constellation piercing when combined with other ear piercings). The alternative name “outer conch” comes from being outside of the conch (the ear’s inner shell), on the outer part of that cartilage. In acupuncture terms, points in this general area (upper ear cartilage) are sometimes associated with anxiety relief.

  • Estimated healing time: Around 6–12 months (average perhaps 6–9 months).
    Pain level: Moderate. Around 6/10 – the cartilage here is flat and fairly thick, so the piercing can cause a sharp pain and then pressure.

Snug (anti-helix)

Snug ear piercing
Snug ear piercing – credit @zinkstudioscanterbury TikTok

The term “snug” comes from how the piercing sits snugly in the fold of the ear. People say this is one of the most painful ear piercings due to the thick cartilage and the pressure of the horizontal placement.

  • Estimated healing time: around 4–6 months for initial healing in ideal cases but it it can easily take longer (6–12 months is not uncommon if there are complications). Cartilage piercings heal slowly, and the snug, being thick cartilage, often requires extra care for many months. 
    Pain level: High. Often regarded as one of the most painful ear piercings, around 8–9/10 in pain. Many say it’s a quick but strong pain.

Rook

Rook ear piercing
Rook ear piercing – top of the photo. Credit: Mortimetal, TikTok

Some refer to it as a “Shen Men piercing” in an acupuncture context, since it’s near the Shen Men point – but the common name is just rook. First popularised in the 1990s by piercer Erik Dakota, who supposedly named it “rook” after his own nickname. A rook piercing often suits a small hoop once healed, but initially you’ll wear a curved barbell for easier healing.

  • Estimated healing time: ~6–12 month. (Cartilage is slow to heal; expect at least half a year of careful aftercare. Avoid sleeping on it or snagging it during this period.)
    Pain level: Moderate-to-high. Commonly rated around 6/10, and many find it a sharper pain than a helix or tragus due to the thick fold of cartilage.

Transverse lobe

Transverse lobe ear piercing
Transverse lobe piercing (bottom of the ear) worn with a daith (middle of the ear) and industrial (top). Credit: Mortimetal, TikTok

This piercing goes the width of the lobe, rather than front to back. This does not work for every ear – if your earlobes are very small or thin, a transverse piercing may not be feasible or safe.

  • Estimated healing time: Variable, roughly 2 to 6 months, and in some cases up to 10 months for full healing. (It heals more slowly than a standard lobe piercing because of the longer piercing channel and potential for movement.)
  • Pain level: Moderate. Often about 5–6/10. The initial piercing might feel similar to a regular lobe piercing (sharp pinch) but drawn out slightly due to the longer piercing path.

Tragus

Tragus ear piercing
Tragus ear piercing. Credit: @piercing.pigss TikTok

Often paired with lobe and helix piercings. Be ready for the fact that using earbuds or in-ear headphones can be a pain (literally) with a new tragus piercing – each time you insert or remove earbuds, you risk irritating it. Some acupuncturists say the tragus area relates to appetite and anxiety.

  • Estimated healing time: Tragus piercings typically take around 6 months at minimum to heal, often longer. Cartilage heals slowly and the tragus, being in a tricky spot (prone to irritation from headphones, hair, etc.), may need the full year to settle completely. It’s important to avoid fiddling with the jewellery and be mindful of hygiene (like phone screens or earphones touching it).
    Pain level: Moderate. Around 5–6/10. The tragus has fewer nerve endings than the lobe, so the pain is often more of a pressure feeling.

Anti-tragus

Anti tragus ear piercing
Anti tragus ear piercing. Source: @six16piercing TikTok

Located across from the tragus. Not everyone has a well-defined anti-tragus – on some ears it’s pronounced, on others it’s very subtle. Consequently, this piercing is highly anatomy-dependent: if the anti-tragus isn’t prominent enough or there isn’t enough tissue, a piercer may refuse to do it. When it is possible, placement has to be precise so that the jewellery sits comfortably and doesn’t press oddly against the tragus or the side of the ear

  • Estimated healing time: Around 9 months to 1 year. Anti-tragus piercings tend to take on the longer end of cartilage healing, given the area is small and can be easily irritated by tugging (think of putting on earbuds or even pulling a jumper over the ears), it’s a piercing that demands patience.
    Pain level: Moderately high. Around 6/10. People describe a sharp pain and pressure.

Surface tragus

Surface tragus ear piercing
Surface tragus ear piercing. Credit @undergroundtat_watford TikTok

A surface tragus (or sideburn piercing/vertical tragus piercing) isn’t actually an ear cartilage piercing like the traditional tragus. Instead, it’s a surface piercing positioned near the tragus, typically on the skin in front of the ear canal (on the side of the face near the hairline). Note that with this one, due to being a surface piercing, there’s a higher likelihood of rejection, migration, or scarring.

  • Estimated healing time: About 3 to 6 months, though surface piercings can be difficult to heal fully and have a higher risk of rejection.
  • Pain level: Usually moderate (4–6/10). Less painful than cartilage piercing.

Conch/inner conch

Conch ear piercing
Conch ear piercing. Credit @undergroundtat_watford TikTok

So called because of the ear’s resemblance to a conch seashell. The conch goes through the centre of your cartilage ‘bowl’. You’ll likely have a barbell at first but plenty of people get this done with the aim of putting a hoop through the conch once healed, which circles out and around the outer ear (also called an orbital, or conch orbital).

  • Estimated healing time: Around 6–9 months on average. Some heal a bit sooner (as early as 4–6 months for a mild conch piercing, but generally plan for around 6 months minimum. If you plan to switch to a hoop, you might need to wait until closer to the 8–12 month mark to avoid complications.
    Pain level: Moderate, around 4–5/10. The cartilage is thick so you do feel a good push.