Large Gauge Jewelry Materials

Buffalo Flared Earlets

Buffalo Flared Earlets

Large gauge jewelry is typically used for stretched piercings. The most common type of a stretched piercing is stretched earlobe, but there are many other piercings that can be stretched with a great success (septum piercing, nipple piercing and various types of genital piercings, among the others).

All these stretched piercings require large gauge jewelry. This type of jewelry is made of many different materials. Some of the materials used for large gauge jewelry are popular materials used for other types of body jewelry, such as Surgical Steel, gold or titanium. On the other hand, large gauge jewelry can also be made of many other materials, first and foremost, numerous organic materials. This is what makes large gauge jewelry truly stylish and unique.

Metals

Large gauge jewelry is made of many different materials. Some of the materials are common body jewelry materials often used for other types of jewelry. The most common ones are popular body-friendly and medical-grade materials, such as 316LVM Surgical Steel or titanium. These materials are safe, durable and make a great choice for any body jewelry pieces, regardless of gauge.

If you like these metal jewelry pieces, you may choose between numerous large gauge Surgical Steel or titanium rings. Some of these rings are popular Captive Bead Rings, though you may choose other ring types, such as Screwball rings or Seamless rings.

Gold is another popular jewelry material. Gold jewelry can be made in any gauge, so you will find many large gauge gold pieces. When choosing gold jewelry, it’s important to make sure that the gold used is safe. It means it should not contain any harmful alloys, such as nickel. Nickel allergy is a serious problem so it’s important to use only nickel-free gold.

Organic Materials

Apart from popular body jewelry materials, large gauge jewelry has the advantage of using numerous exotic and organic materials. Some materials are too delicate to be used for small-gauge jewelry. With large gauges, however, there is no danger that the material would break. This is why there are so many materials used for large gauge jewelry only.

Organic materials are particularly popular for stretched piercing jewelry. Materials such as wood, stone, bone and horn or glass look wonderful in stretched piercings. These materials are carefully shaped to make large gauge jewelry for your stretched earlobes or another stretched jewelry types.

One advantage of these materials is that they allow the skin to breathe much better than with metal or acrylic. Another advantage are all those unique, organic colors and patterns you get with organic jewelry pieces. Since this type of jewelry is organic, each piece is truly unique and one of a kind.

One note about organic jewelry: it is very effective and beautiful, but it should be used for healed piercings only. This is why you should wait a bit after stretching to use them. Make sure that your stretched piercing is completely healed and infection-free before inserting any organic jewelry piece.

Additional Tips

  • In case you are unsure about jewelry size you have, use a gauge wheel. Gauge wheels are handy tools for measuring your jewelry so you can always choose jewelry of the appropriate size for your stretched piercing. When in doubt, use a gauge wheel so you won’t make a mistake and wear jewelry that doesn’t fit.
  • Organic materials are often porous, which means they make a good place for various bacteria. This is why it’s so important that your piercing is fully healed and stretched properly before you use any organic jewelry pieces.
  • In case you notice any redness, itching, infection, migration or rejection, do not ignore it. Take your jewelry out and replace it with a jewelry piece you’ve worn without a problem. If the problem persist, consult your doctor. You might need to retire a piercing or go back to a smaller gauge, but it’s a small price to pay. You should never allow for a piercing to get infected even if it means that you wouldn’t be able to wear your favorite jewelry piece.
  • Some materials are heavier than the others. Keep this in mind when ordering your large gauge jewelry. For example, Surgical Steel is heavier than titanium. Titanium, gold and all the metals are heavier than organic materials. Some organic materials (stone, glass) tend to be heavier than the others (wood, horn). In some cases, this size and weight can be an advantage (for example, for some genital piercing types). In other situations, heavy jewelry might pose a problem. This is why you should choose materials carefully and pick the one that weights just how you need it.
  • In case you have a stretched genital piercing but your partner doesn’t appreciate heavy jewelry, you may remove your jewelry during intercourse. Make sure to insert your jewelry after intercourse because genital piercings tend to heal very quickly so chances are that you’ll have a lot of problems inserting jewelry after a while. This is a common problem with penis piercings.

Things to Consider when Choosing Nostril Jewelry

Nostril PiercingNostril piercing is among the most popular piercing types. It looks very stylish and it’s rarely distracting so you can wear your nose jewelry in many different situations. Luckily, there are many different nostril jewelry pieces you can choose.

However, it’s important to know how to choose your nose jewelry. Not all pieces will fit your piercing, your needs or your general style. There are several things you need to take into account when choosing nostril jewelry pieces for yourself.

The Right Gauge

The first thing you need to keep in mind when choosing nose jewelry is the gauge of the jewelry piece. This may go without saying, but it’s worth to be reminded of it: the gauge of your jewelry should be the same as your piercing. Meaning, you should choose the jewelry of the same gauge as the one you are pierced with. This is why it’s always important to know your gauge.

In some cases, you may choose jewelry that is one gauge smaller than your piercing, but keep in mind that it may make your piercing shrink. A jewelry that is one gauge larger may also be acceptable, but you need to go slowly. Inserting jewelry of a larger gauge will make your piercing stretch, even a little, so you need to go slowly in order to avoid injuries.

When ordering nose jewelry, keep in mind that the size you order is the gauge of the post.

Length

Another thing to consider when choosing the best nostril jewelry is the length of the post. It is important that your nose jewelry sits nicely and that it’s never too large or too small. The proper length of the post will prevent the jewelry of flipping around or even falling out.

The best length is the one that makes the jewelry sit nicely against the skin. The jewelry has to be comfortable and also to allow for a bit of expansion during breathing. It should never be too tight to cut into the flesh or to cause other problems. On the other hand, it should not be too loose or else it might hit your septum.

The right post length sometimes requires a bit of trial and error. It’s important to be patient and you will be able to find the best length that suits you. We sell our nostril jewelry in several standard sizes, so chances are that you will find the best nostril jewelry piece for your needs.

Material

There are many materials suitable for nostril piercings. Typically, any body-friendly material you may use for other piercing types will also work for your nostril jewelry. Some of the most popular materials include Surgical Steel (it’s best to use medical-grade 316LVM Surgical Steel), Titanium and Gold.

If you choose gold nostril jewelry pieces make sure that the gold used to make the piece is nickel-free. Nickel allergy is a common problem and you sure want to avoid it.

Jewelry Style

There are several common nostril jewelry types to choose from. You choice will depend on your individual preferences and needs. While all of these jewelry styles look similar on the outside and therefore produce similar aesthetic effect, there are some differences in design you should know about.

The most common nostril jewelry types include:

  • Nose Bones. They are made of a straight bar with a ball on one end a decoration on the other.
  • Nose Screws. They have a curved body and are made in left and right variations. The curved keeps the jewelry in place. Decoration is placed on the other end of the piece.
  • L-Shapes. They have an L-shaped curve that keeps the jewelry in place.
  • Nose Studs. Similar to nose bones, but without the ball on the other end to keep jewelry in place.
  • Fishtails. They have a long bar with decoration one end. You can bend the bar in any way you find comfortable, so they are good for customization.

Gem Size

Many nostril jewelry pieces come with gems. These gems can be Zircons or Genuine Precious Stones, depending on the style. Some even have Genuine Diamonds, so they are truly classy and stylish.

When choosing the best piece for your needs, it’s important to take your preferences into account. While nostril jewelry styles are typically small and discreet, the gem size can make a whole difference. You may choose a small and discreet gem if you prefer your nose jewelry to be elegant and not distracting. On the other hand, you may make your nose jewelry more noticeable by choosing a larger gem for your piece.

When choosing the gem size, keep in mind the occasions in which you may wear your nostril piece. For example, chances are that you will have to opt for smaller gems and more discreet jewelry pieces for work or other conservative places. In these situations, it’s best to choose really small gems, in case you wish to add a bit sparkle to your piece.

In other situations, such as birthdays, parties or special occasions, you may wish to wear a piece with a lager gem. Such a large gem will add a lot of sparkle to your face and make your nose piercing noticeable.

How to Use Crescent and Spiral Tapers

There are many gorgeous crescents and spirals you may try. These jewelry pieces are not only elegant, but also very functional. They combine tapers with jewelry, making a very attractive piece you will sure want to try.

Why Using Crescents and Spirals?

First of all: they are beautiful. Crescent and Spiral jewelry is made to be elegant and eye-catching. Many spirals and crescents are made of organic materials, which makes them truly unique and special. They are a great choice for stretched piercings. While they are typically used for earlobes, you can wear them in any stretched piercing. For example, many people wear them as septum jewelry.

Another great thing about crescents and spirals is that many of them can be used as tapers. In fact, many of them are made with this particular use in mind. Crescents and spirals can be used to safely and comfortably stretch your piercing to a larger gauge. This is why they are known as “gauging jewelry pieces” or “gauging tools”.

The main advantage to crescent and spiral tapers is that, unlike many traditional (straight) ones, is that they can be worn for a prolonged period of time. Spirals and crescents can be used as jewelry, which means you can keep them in your earlobe so it can stretch on its own.

Spirals and crescents also provide a very comfortable stretching experience, because you don’t just simply jump from one gauge to another. Instead, you slowly move from one to the other by gently adjusting your jewelry.

Using Spirals and Crescents

Spirals and crescents can be used as both jewelry and a stretching taper. They are actually very easy to use: you simply insert them in your stretched earlobe (or another stretched jewelry). You start with the side that’s the same as your current gauge and then you slowly move to a larger gauge over a period of several days.

It means that you don’t simply jump from one gauge to the other. You move the spiral or crescent slowly and gently to the thicker end, bit by bit, every day. Once you get to the large part of the jewelry (typically the middle) your piercing is stretched to the larger gauge, all without any pain and discomfort.

When using spirals and crescents to stretch your jewelry, keep in mind that patience is the key. Don’t try to force the jewelry through the piercing and don’t go too fast. It may seem like a long process, but it’s important to go slowly. It’s the best way to stretch your piercing without any problems or negative effects.

Stretched Piercings Made to Extreme: Joel Miggler’s Cheek Holes

Cheek Piercing Extreme body modifications take a new meaning in this 23 year old’s facial piercings. Joel Miggler from Germany has several facial piercings stretched to large gauges. This young man, however, didn’t stop at stretched earlobes: he has large holes on either side of his cheeks. These cheek holes are stretched to the width of 36mm.

Depending on the type of plugs and flesh tunnels he wears, you can clearly see his teeth, gums and split tongue. The young man claims he has no special name for his cheek piercings. “You can call them stretched or big cheeks”, he claims. He also states he wants to continue stretching his cheeks to a larger gauge.

This body art enthusiast has multiple tattoos and 25 piercings total, but none of them attract so much attention as his stretched cheek piercings.

The young man claims the reaction to his piercings are mostly negative, especially online, but he and his girlfriend are not bothered by these reactions. “I don’t care what they say”, Miggler claims.

How to Use a Gauge Wheel

Gauge Wheel for Measuring

Gauge Wheel for Measuring

Gauge Wheels are excellent tools for measuring your jewelry. Many people are unsure about their gauge size of their jewelry, which can lead to many problems. You need to know the gauge size of your jewelry and the size of your piercing at all times. It’s the only way to get the most appropriate jewelry for yourself, and it’s the only way to order a correct jewelry size when you purchase jewelry from a shop.

Gauge Measuring

It may sound strange, but many people are unsure about the gauge size they need. Some people don’t even know at what gauge they are pierced at, which creates numerous problems when ordering new jewelry or determining what jewelry size they truly need.

While the most reliable piercing studios will always inform you about the gauge size, and while there are several standard gauge sizes for new piercings, depending on the piercing type and the body part, there is always a chance that you are not pierced with a standard-sized needle or that you simply don’t know your gauge.

This matter gets even more complicated when it comes to stretching. Stretched piercings require larger jewelry, but it’s sometimes difficult to tell what’s your currrent gauge. It’s particularly problematic when it comes to the stretching process itself: you need to know your gauge to know the size of a taper you’ll need. Stretching too much or going many sizes above your gauge is not recommended and it can lead to numerous problems.

For all these reasons, it’s important to know your gauge and you need to be able to measure your jewelry at all times.

Using a Wheel

Using a handy gauge wheel is the easiest method of measuring your jewelry. You don’t need to use any tapes or complicated tools: the wheel does all the job for you.

All you need to do is to place your jewelry between the flanges, along the outer edge. Don’t put it inside the hole – keep it between the flanges for the most accurate measurement.

Start with a size you think might be alright, and if it’s not a correct one, move to the next size, until you find the correct gauge. After you have determined a correct size, don’t forget to write it down.

All piercing enthusiasts should have one of these gauge wheels to make gauge measurement easy. The best wheels are made of metal, so they are long-lasting.

Popular Piercings and Jewelry Types

Titanium Star Curved Barbell

Titanium Star Curved Barbell

Piercing is a popular form of body modification and all enthusiast who love various piercing styles can enjoy many different types of jewelry. The choice of jewelry is often a very personal one. In a way, it will depend on the body part and the type of piercing you have. For example, certain piercing types require straight barbells as the basic form of jewelry while others require curved barbells, captive bead rings, flesh tunnels, etc. Generally speaking, though, most piercings can use many different types of body jewelry, so it’s often the question of one’s personal preferences and style.

Your body jewelry should suit you and make you express yourself in the best possible way. It should show who you are and it should be something you truly like and feel comfortable with. Many people have one style they stick to, while others like to experiment. Some people prefer simple body jewelry types while others go for more elaborate, complex designs. There is no right or wrong way to go here.

There are some popular piercing types and body parts many people choose to pierce, and these piercings often require a certain type of jewelry. Within these types, you are free to choose designs you like the most.

Earlobe

Earlobe piercing is the most common body piercing. It’s so common and socially accepted that it’s often not even considered body piercing in “true” sense. There are many types of earrings people like to wear in their earlobes, and the choice of designs and materials is endless. Rings, dangling jewelry types and other forms are popular.

Special type of earlobe piercing is a stretched earlobe piercing, erroneously known as “gauge”. These piercings are stretched to a larger size so a different type of jewelry can be worn in the stretched hole, such as ear plug, earlet, flesh tunnel, tusk, spiral, and others. These jewelry types are often made of organic materials and they can be very effective. The “trick” when choosing jewelry for stretched piercing is to always choose the correct gauge. Wrong size can put a pressure on your piercing and tear your earlobe, which can lead to infections and other problems. Therefore, before choosing a design you like, you need to make sure the jewelry is of a correct gauge and also made of a body-safe material you can wear safely.

Ear Cartilage

Heart Helix Cuff for Ear Cartilage Piercing

Heart Helix Cuff for Ear Cartilage Piercing

Various types of ear cartilage piercings are also popular. These piercings are suitable for many different jewelry types, so you can choose between rings or barbells, depending on your style. People who have multiple cartilage piercings often like to connect them with the same jewelry piece. The most popular form of this is the industrial piercing, usually connected by a long straight barbell, but there are other possibilities. Some people use spiraled barbells or chains to connect their cartilage piercings. Many jewelry types also incorporate dangling gems or pendants.

Navel

Navel piercing is one of the most popular forms of piercings. Jewelry used for this type of piercing is often known as “belly rings” or “navel rings”, even though the most popular jewelry type for this type of piercing is not a ring but a curved barbell. There are many curved barbell designs to choose from, such as simple surgical steel barbells with spherical balls or more elaborate designs with pendants, gems and other ornaments.

Another popular type of jewelry for this type of piercing is the actual ring. Captive bead rings are popular, but their downside is that they can get caught on clothing. Therefore, they are recommended only for fully healed piercings.

Nose

Certain types of nose piercings are very common. Nostril piercing, for example, is among the most popular forms of piercing. It is a relatively simple piercing and jewelry types used for this piercing are simple but very effective. Many people choose simple studs and nose screws with bright gems on top for nostril piercings. A good thing about this type of piercing is that it can be very understated and easy to hide for work and other occasions: all you need to do is to choose a flesh-colored nose plug or stud. Some people prefer to wear nose rings instead of studs and screws.

Another popular type of nose piercing is septum piercing. It is a bit more complex type of piercing but it’s very effective. There are many different jewelry designs suitable for this type of piercing, such as rings and curved barbells. Depending on the style, a septum piercing jewelry can be simple or bold and more pronounced.

Eyebrow

Another popular piercing location is the eyebrow. Eyebrow piercing can look very beautiful and effective, but the downside is that eyebrow piercing tends to be very sensitive. Remember, eyebrow piercing is basically a surface piercing, which means there’s a relatively high risk of migration and rejection.

Also, this type of piercing has a high risk of becoming infected. For this reason, it’s important to choose jewelry carefully and with some consideration. Make sure to pick a body safe jewelry material and a jewelry suitable to be worn in an eyebrow piercing without a problem. Simple barbells look effective and they don’t pose much problems. Rings are another popular choice but you need to be careful not to make them caught on the clothing or hair.

Lips and Tongue

Titanium Micro Labret

Titanium Micro Labret

Many people choose to get their lips and tongue pierced. These piercings are very common but it’s important to be careful because of the sensitive tissue. Also, another risk associated with this type of piercings come from the fact lips and tongue regularly come in contact with food, so it’s another thing to keep in mind.

Generally speaking, lip piercings usually use labrets. This is a perfect jewelry type for this form of piercing. It’s effective but relatively simple and it doesn’t interfere with eating or brushing your teeth. However, labrets are not the only jewelry type used for lip piercings; many people prefer to use rings and other jewelry types.

Tongue piercing is more complex and the healing time is longer, so it requires special attention. Jewelry used for tongue piercing must be made of high-quality, body safe materials because it comes in contact with sensitive tissue.

Genital Piercing

While not as common as other type of body piercings, genital piercing has many proponents. Both men and women choose different types of genital piercings and jewelry types. As a general rule, jewelry worn in a genital piercing must be made of a high quality, body-safe material. Most jewelry types are relatively simple in design and have a smooth surface so they don’t pose a problem while walking or sitting. One advantage of genital piercing is that it can be used to enhance sexual pleasure for both partners.

Gauge Size Chart

Whiteheat Double Flared Earlets

Whiteheat Double Flared Earlets

All body piercing enthusiasts need to be familiar with gauge sizes. There are handy gauge size charts showing you sizes of all gauges (in centimeters and inches) so you know how large your piercing is.

Knowing your exact size as well your desired size (if you want to stretch your jewelry) is crucial. It’s important to always know the size of your piercings because that’s the only way to choose correct jewelry. If you wish to stretch your piercing you need to know your starting size and the gauge you want to achieve (note that you should never stretch for more than one size because it can hurt your piercing and lead to tearing, infections and other problems).

The gauge size chart can come in handy if you wish to stretch your piercing or if you need a quick info on how big a certain gauge is. Remember, initial piercings are done in gauges ranging from 20 to 14, mainly depending on the location and piercing method. When stretching your piercings, don’t forget to always wait for piercings to be fully healed before you attempt to do a stretching. Also, you need to wait some time before you stretch it to the next size. Waiting for about a month or two should make your piercing rest enough so you can stretch it to a new size.

Basic Gauge Chart

Here is a basic gauge chart for the most common sizes:

Gauges

Millimeters

Inches

20 0.8 1.32
18 1.0 5/128
16 1.2 3/64
14 1.6 1/16
12 2.0 5/64
10 2.4 3/32
8 3.2 1/8
6 4.0 5/32
4 5.0 3/16
2 6.0 1/4
0 8.0 1/3
00 10 3/8
11 7/16
12 1/2
14 9/16
16 5/8
19 3/4
22 7/8
25 1
29 1 1/8
32 1 1/4
35 1 3/8
38 1 1/2
41 1 5/8
44 1 3/4
48 1 7/8
51 2

 

Popular Ear Piercing Types

Ear PiercingEar is the most popular body part for piercing. Almost all parts of the ear can be pierced, so there are many different types of piercings performed on the ear. Some are more common than the others, some are more sensitive than the others and take longer time to heal. Regardless of the type, ear piercings are relatively simple to perform and they can be very effective.

Here is the list of the most popular ear piercing types:

Earlobe Piercing

Earlobe piercing is the most popular type of ear piercing. In fact, it’s the most common of all body piercings. Earlobe piercing is so widespread and socially acceptable that many people don’t even consider it body piercing in true sense of the word. Earlobe piercing is easy to perform and it heals quickly. There are many types of earrings suitable for this type of piercing.

A special type of earlobe piercing is stretched piercing. It’s sometimes called “gauging”, though it’s a wrong term: gauge is the size of the jewelry. Many types of piercings can be stretched to a larger size, but the most common are stretched earlobes. There are special types of jewelry made for stretched piercings: ear plugs, flesh tunnels, earlets, tusks, spirals, and more.

Industrial Piercing

An industrial piercing (also known as the scaffold piercing) consists of two holes connected by a single jewelry piece. It’s typically done on the upper ear cartilage. During the procedure, two piercings are made: one close to the head and the other further down the cartilage on the opposite side of the ear.

The most common jewelry type for industrial piercings is long, straight barbell. It’s inserted through the first piercing from behind the ear and it goes diagonally across the front of the ear cartilage to the second piercing. It’s not uncommon to wear a pair of captive bead rings instead of a straight barbell. Those who wish to use straight barbells for their industrial piercings can choose between numerous unique barbells with special decorations or spirals to make their piercing stand out.

Helix Piercing

The helix piercing is performed on the outer curly rim of the ear cartilage. It’s important that this piercing is done with a needle and not piercing gun (in fact, it’s best to never use a piercing gun; it’s only suitable for earlobe piercings and it’s not even the best method to perform that type of piercing). Most people get more than one helix piercing to wear several jewelry pieces on that side of the ear. A special type of helix piercing is the orbital piercing. Here, two piercings are made and the jewelry goes from back to the back of the ear, so it looks like it’s orbiting through the cartilage.

Anti-Helix

The anti-helix piercing is done on the ear part just the opposite of the helix. It’s also known as the snug piercing. This type of piercing requires micro-jewelry. Many people choose to get both helix and anti-helix piercings and pair them with the same jewelry types. The most commonly used jewelry for this type of piercing are curved barbells or circular rings.

Tragus Piercing

The tragus piercing is performed on the small piece of the thick cartilage projecting in front of the ear canal. It’s typically done at a small gauge (16g). The most common jewelry for this piercing is captive bead ring.

Anti-Tragus Piercing

The anti-tragus piercing is performed on the part of the ear cartilage directly above the earlobe.

Transverse Lobe Piercing

This is a piercing that goes horizontally through the ear lobe. It takes more time to heal than the regular earlobe piercing. Typical jewelry worn in this piercing are straight or curved barbells.

Rook Piercing

The rook piercing is done at the folded inner rim of the ear. This inner ridge of the ear runs down the center and it’s parallel to the helix or outer rim. It’s important to understand that the look of this piercing depends a lot on the anatomy of your ear.

Conch Piercing

There are two types of the conch piercing: the inner and the outer. The inner conch piercing is made on the center cartilage adjacent to the ear canal. These piercings are usually done at larger gauges (10g or 8g) and they can be stretched to accommodate ear plugs. The most common jewelry type for this piercing is barbell.

The outer conch piercing is made on the flat part of the top outer ear. It’s done at a smaller gauge (16g). Typical jewelry for this piercing is curved barbell or a captive bead ring.

Daith Piercing

The daith piercing is performed on the outer rim of the ear cartilage, closest to the head. It’s often performed with a curved needle to prevent damage to other parts of the ear. There is another variation of this piercing: the inner daith. This one is performed on the horizontal part of the cartilage, directly above the ear canal. The most commonly used jewelry for daith piercing is a captive bead ring.

How to Correctly Measure Body Jewelry

As soon as the healing period is over, we cannot wait to sport all types of beautiful body jewelry, right? Of course! After all, what is the point of getting a body piercing is you cannot adorn it with eye catching pieces and turn some heads? Most of us shop for body jewelry online. In such a scenario, it is very important to know how to correctly measure body jewelry.

Whether a piercing is fresh or healed, a wrong sized jewelry piece can irritate and infect it. Let’s look at how to correctly measure some of the common types of body jewelry pieces.

Straight Barbells – One of the most common and easy to measure body jewelry pieces, straight barbells are measured along the shaft between the two balls. Used most commonly for tongue and industrial piercings, straight barbells are also very comfortable when worn in almost all piercings including navel, nipple and eyebrow. Continue reading

Ear Scalpelling versus Ear Stretching

Ear StretchingEar Scalpelling is becoming a more and more popular these days. I would not say it is the most pleasant experience, but the results are amazing.

With Scalpelling it can be done in an hour or less. In doing this procedure you can go from nothing to a 00 Gauge with the Jewelry already installed.

Ear Scalpelling will make large wounds but they will heal up clean because they were done with a knife versus stretching your ears. When you stretch you ear there is a big risk that you can tear your lobes. A tear will almost never heal properly. With Scapeling you can correct things like if you were pierced with one hole higher than the other.

The only real negative thing to having this done is the hole will probably never close up.

Unlike when you stretch your ears, there is no tissue to shrink down. It almost always has to be surgically closed. Keep this in mind if you should consider getting this procedure done. This is basically permanent, and will not just shrink closed.