A dermal top is the small, visible piece of jewelry that screws into a dermal anchor base under the skin. It’s the decorative part you see—think tiny crystals, opals, or simple domes.

• How it’s used: It threads onto a compatible base, letting you swap styles.
• Common sizes: Many tops on this page are 3–5 mm in diameter.
• Materials: You’ll see options like 316L surgical steel, titanium, and PVD gold-tone finishes with CZ or opal.

Always match the top’s gauge/threading to your existing base (often 14G or 16G). If your piercing isn’t fully healed, a professional piercer can advise before changing jewelry.

Most dermal tops here are designed to screw onto a compatible dermal base, often using internally threaded connections. This creates a secure fit that’s also replaceable.

1. Attaching: Align the threads and gently turn until snug—no need to overtighten.
2. Removing: Carefully unscrew the top with clean, dry hands. If it feels stuck, avoid forcing it.
3. Compatibility: Match your top to your base’s gauge and thread type (commonly 14G or 16G).

The base itself shouldn’t be removed at home. If your piercing is new, sensitive, or the top won’t budge, a professional piercer is a great resource.

Durability varies with material, finish, and daily wear. The jewelry on this page includes options like titanium and surgical steel, as well as PVD gold-tone finishes and gem settings.

• Material matters: Solid titanium and 316L surgical steel generally offer long-lasting wear.
• Finish care: Plated or anodized colors may show wear sooner with frequent friction, water, or lotions.
• Usage: Regular cleaning and mindful wear can help maintain appearance, but results can differ by lifestyle.

If you’re concerned about longevity for your specific placement or routine, a professional piercer can provide personalized guidance. You can also rotate styles to reduce wear on a single top.

Choose threading that matches your existing base. Many tops on this page are internally threaded, which means the screw is inside the top and threads into the base post.

• Check the listing: Look for details like “internally threaded,” the gauge (often 14G or 16G), and any sizing notes.
• Match your base: Don’t mix gauges or thread types—compatibility is key for a secure fit.
• When unsure: If you’re not sure which base you have, a quick consult with your piercer or checking any paperwork from your original piercing can help.

On site, you’ll find individual tops, bases, and sets—just verify specs before adding to cart.

For the jewelry piece itself (not the piercing), gentle cleaning helps keep shine and reduce buildup.

1. Prep: Wash your hands. Only remove the top if your piercing is healed and you’re comfortable doing so.
2. Clean: Use warm water and a mild, fragrance-free soap. Wipe with a soft, lint-free cloth.
3. Rinse & dry: Rinse thoroughly and pat dry to avoid water spots.
4. Protect finishes: Avoid harsh chemicals, alcohol, or abrasives—especially on PVD gold-tone, anodized, or epoxy-covered designs.

If the piercing is new or irritated, follow your piercer’s aftercare advice and avoid manipulating the jewelry. When in doubt, a professional piercer can help with cleaning or removal.