Pabau Engage inbox

Pabau Engage is here: every patient conversation in one inbox.

Learn more
Aesthetics & Beauty

Face piercing chart: Placements, gauges and healing times

Free PDF 2 pages, print-ready Clinician-reviewed


A face piercing chart names each facial piercing and shows where it sits. It lets you and the client agree on a placement before anything gets marked. Clients often arrive with a screenshot and the wrong name, and the chart settles that in seconds.

Ours lists 14 numbered placements, from the septum and bridge to the medusa, anti-eyebrow and tragus. Each one carries a typical gauge, an initial healing range and a note on what to watch. It also includes a pre-piercing checklist and a procedure record.

Template details
Template type
Chart
Format
Printable PDF, 2 pages
Sections
5 sections
Fields to complete
2 fields
Best for
Aesthetics & Beauty
Free download

Download your free face piercing chart

A two-page chart with a 14-placement reference table of typical gauges and initial healing ranges. It also holds a 10-point pre-piercing checklist, a procedure record and guidance on when to decline.

What’s inside
  • Header fields for studio, client, piercer, date of birth and ID check
  • Reference table of 14 placements with typical gauge, healing range and notes
  • Swelling guidance on fitting a longer post and downsizing later
  • Ten pre-piercing checks, from age and photo ID to signed consent
  • Procedure record for placement, gauge, length, material, needle lot and initials
  • When-to-decline guidance plus space for anatomy notes and follow-up
PDF · 2 pages · 162 KB No sign-up needed Updated November 2026
Generate it. Send it. File it automatically.

Turn this template into a Smart Form

Start from scratch, or upload this PDF or any form you already use, and Pabau's AI Form rebuilds it with tick boxes, text fields and a signature. Attach it to the treatment once, and every patient gets it on time.

  • Generate with AI from a PDF, Word file or photo
  • Precare before the visit, aftercare after checkout
  • Signed forms saved to the patient record

Why practices run their forms on Pabau

Bring your forms across fast

AI Form rebuilds the consent, history and aftercare forms you already use. You review each one, then publish.

Save hours every week

Patients complete forms on their phone before they arrive, so the front desk stops retyping paper.

Stay audit-ready

Every signed form is versioned and attached to the treatment record, ready when you need it.

Ask patients once

Set how long a consent stays valid. Returning patients skip forms they have already signed.

Supports HIPAA and GDPR compliance AES-256 encryption 4.8 on G2 4.7 on Capterra Trusted by 4,000+ practices worldwide

Key takeaways

Key takeaways

The chart numbers 14 placements, each with a typical gauge, an initial healing range and a note on what to watch.

Cartilage placements like the nostril and tragus take four to eight months to heal, about twice as long as most lip piercings.

Eyebrow and anti-eyebrow placements carry the highest migration and rejection risk, so discuss it before you mark.

Fit a longer post on lip placements and book a downsize once the swelling settles.

The 10-point checklist and the procedure record make each piercing traceable if a client returns with a problem.

Found our content helpful?

The chart covers 14 placements, from septum to tragus

Each numbered placement on the sheet comes with a typical gauge, an initial healing range and one note on what to watch.

The PDF asks you to “mark the agreed site on the diagram” (its wording), but the file has no diagram. The face map below fills that role, so every number points at a spot on the face.

Face diagram numbering 14 piercing placements
Lip placements crowd into a small area, so the close-up separates the six numbers you’re most likely to mix up during a consultation.

For marking on the day, print a plain face outline to go with the sheet and circle the agreed number on it. Some studios mark the placement on a photo the client has approved instead. Either way, the marked copy goes in the client’s record.

Here is the full reference table, with the same numbers, gauges and healing ranges as the PDF.

#PlacementTypical gaugeInitial healingWhat to watch
1EyebrowBrow and cheek16g2 to 4 monthsSurface piercing with a higher migration and rejection risk
2BridgeNose16g or 14g2 to 3 monthsPasses through the skin over the nose, not the cartilage
3NostrilNose18g or 16g4 to 6 monthsCartilage heals slowly, so avoid early jewelry changes
4Nostril (opposite side)Nose18g or 16g4 to 6 monthsMeasure the pair rather than eyeballing it
5SeptumNose16g or 14g6 to 8 weeksGoes through the thin tissue in front of the cartilage
6Labret / side lipLips16g or 14g2 to 3 monthsWatch for gum and tooth wear, and use a flat-back disc
7Labret (opposite side)Lips16g or 14g2 to 3 monthsMeasure symmetry against the midline
8Philtrum (medusa)Lips16g or 14g2 to 3 monthsSits in the groove above the top lip
9Central lower lipLips16g or 14g2 to 3 monthsFlat-back jewelry reduces dental contact
10Lower lip, off-centerLips16g or 14g2 to 3 monthsCheck it against the client’s natural lip line
11Labret (chin side)Lips16g or 14g2 to 3 monthsAssess tissue depth before choosing the post length
12Anti-eyebrowBrow and cheek16g3 to 4 monthsSurface placement, so discuss rejection risk openly
13Tragus / earEar16g4 to 8 monthsCartilage, slow to heal
14Tragus / ear (opposite side)Ear16g4 to 8 monthsCartilage, slow to heal
Dark healing chips mark cartilage placements, which take four to eight months. Lighter chips heal in about two to four months, or six to eight weeks for the septum.

The tragus isn’t strictly a face piercing. Clients often book it in the same session, though, so the sheet keeps it in view.

Nose placements need measuring, not eyeballing

Three nose placements sit on the sheet: the nostril, the septum and the bridge. They heal on very different clocks. A nostril goes through cartilage and takes four to six months, while a septum often settles in six to eight weeks.

Paired nostrils fail on symmetry more often than on technique. Mark both sides, step back, and have the client check them in a mirror before you pierce. If a client asks what 16g or 18g means in millimeters, our body piercing gauge chart converts every size.

Lip placements need room for swelling

Six of the 14 placements involve the lips, so swelling is the problem you’ll plan for most. The sheet’s advice is to fit a longer post first and downsize once the swelling settles. A post that’s too short in those first days can embed in the tissue.

That swelling note also mentions tongue piercings. The tongue isn’t one of the 14 charted placements, so this note is the only place it appears on the sheet.

Lip jewelry also rests against teeth and gums. Flat-back discs reduce that contact, and a quick look at the gum line at each check-up catches wear early.

Four lip names overlap, so record the number

Strictly, a labret is the central piercing just below the lower lip. The PDF uses the word more loosely, so several rows describe close neighbors. Read the lip numbers like this:

  • #6 and #7: One piercing below each corner of the lower lip. Done together, they make snake bites.
  • #9: The center of the lower lip, which is the standard labret spot.
  • #11: Also central, but lower toward the chin. The tissue is deeper there, which is why its note asks you to check depth before choosing a post.
  • #10: A single piercing to one side of the lower lip. It’s the same kind of piercing as #6, so note which number you used.
  • #8: The philtrum, or medusa, centered in the groove above the top lip.

The PDF also spells #10 the UK way, as “off-centre”. Write the number in the procedure record, and the overlap stops mattering.

Eyebrow and anti-eyebrow carry the highest rejection risk

The sheet flags both as surface placements, where the jewelry sits in flat tissue rather than through a fold. That makes migration and rejection more likely, and rejection can leave a scar. Name the risk before you mark, then note in the record that you discussed it.

The PDF’s note for #12 calls the anti-eyebrow a “surface anchor”, which blends two techniques. Depending on technique, it’s either a surface piercing or a dermal anchor, so record which one you used.

Healing time follows the tissue, not the name

Group the 14 placements by tissue and a clear pattern appears. Soft tissue settles in weeks or a few months, and cartilage takes the longest. The ranges below come straight from the chart’s reference table.

Range bars of typical initial healing by face piercing placement
Cartilage placements like the nostril and tragus heal about twice as slowly as lip and other soft-tissue placements, so book their check-ups further out.

Treat every range as typical, not a promise. Healing shifts with anatomy, jewelry, aftercare and the client’s general health, so let the piercer set expectations for each client.

Jewelry choice matters as much as the timeline. For initial piercings, the checklist allows implant-grade titanium, implant-grade steel, niobium, or solid 14k gold and above. Implant-grade titanium is made to ASTM F136, and implant-grade stainless steel to ASTM F138. Hand every client written aftercare, such as our piercing aftercare instructions, and tell them who to contact if something changes.

For general infection prevention, the CDC publishes guidance on hygiene and wound care. A client with spreading redness, heat, swelling or discharge should see a healthcare professional.

Surface and dermal piercings are built differently

A surface piercing uses a barbell that enters and exits the skin on the same plane. A dermal piercing uses a single anchor with a base under the skin and a visible top, so no jewelry passes through.

The Association of Professional Piercers (APP) publishes safety and educational materials for the industry. APP educational materials describe the anti-eyebrow as a surface piercing with a rejection risk. Placed with a single anchor instead, it becomes a dermal piercing, as with the teardrop and chin below.

Clients will also ask for names the sheet doesn’t number. Add these to your own copy if your studio offers them.

  • High nostril: A nostril piercing placed higher up the side of the nose.
  • Vertical eyebrow: The jewelry runs up and down through the brow instead of across it.
  • Forehead: Typically placed as a dermal anchor.
  • Teardrop: Sits just under the eye, as a surface or dermal piercing depending on anatomy.
  • Chin: Surface or dermal, depending on anatomy and the piercer’s assessment.

Dermal anchors shouldn’t be removed at home. Tell clients up front that removal is a studio appointment.

A consultation runs better with the chart in hand

The chart does its best work in the first few minutes of a consultation. A typical run looks like this.

  1. Ask what the client wants. A photo helps, but match it to a numbered placement rather than the name they used.
  2. Walk through the row. Point to the placement and talk through its gauge, healing range and note.
  3. Assess the anatomy. If the tissue won’t support the placement, say so now and offer an alternative.
  4. Run the checklist. Work through the ten checks, then have the client sign your piercing consent form.
  5. Mark and confirm. Mark the site, circle its number on your face outline, and have the client confirm it in a mirror.
  6. Fill in the record. After piercing, log the placement, gauge, length, material, needle lot and your initials.

Step six is the one studios skip when the queue is long. It’s also the one you’ll need if a client comes back with a problem three months later.

Before you pierce: Tick all ten checks

The sheet’s checklist has ten points, and each one prevents a specific problem.

  • Age: The client is 18 or over, or a parent or guardian is present where state law permits.
  • ID: You’ve seen photo ID and recorded it.
  • Medical history: You’ve taken it and read it.
  • Contraindications: None present, from anticoagulants and diabetes to immunosuppression, keloid history or recent illness.
  • Food and sobriety: The client has eaten and isn’t under the influence.
  • Anatomy: It suits the requested placement.
  • Marking: The placement is marked and confirmed in a mirror.
  • Jewelry: It’s implant grade, such as ASTM F136 titanium or ASTM F138 steel.
  • Aftercare: You’ve explained it and handed it over in writing.
  • Consent: The client has signed the form.

Seven mistakes that trip studios up

Most of these cost a minute to avoid and a lot more to fix after the fact.

MistakeDo this instead
Marking from the table aloneThe PDF has no diagram, so mark on a printed face outline or a client-approved photo.
Trusting the client’s name for a piercingSlang names vary between studios, and the chart’s lip names overlap. Point at a numbered placement instead.
Fitting final-length jewelry on day oneLip placements swell, and a short post can embed. Fit long, then book the downsize.
Eyeballing pairsMeasure nostril and labret pairs against the midline before you mark.
Changing nostril jewelry earlyCartilage heals slowly, and an early swap can irritate a piercing that’s still healing.
Skipping the recordLog the needle lot and jewelry material every time, so you can answer a question about a reaction later.
Printing the chart uneditedStrike placements your studio doesn’t offer, and add the names your team uses.

Saying no is part of the job

The sheet tells you to decline when the anatomy won’t support the placement, the client can’t consent, or a medical condition makes healing unsafe. Explain why, and offer another placement where one exists. Refer anyone with signs of infection to a medical professional.

Licensing rules for piercing studios vary too. In the US, each state sets its own body art rules, and counties often add their own. In the UK, local councils handle registration. Check yours before you open or add a service.

Pabau is an all-in-one practice management system for aesthetic and healthcare teams, covering bookings, client details and forms. Piercing studios use the same tools to keep one record per client.

On paper, the chart, the consent form and the procedure record end up in three places. With Pabau, clients complete intake and consent forms on their phone before they arrive, and the signed copy lands on their record.

Customizable consent and intake forms
Pabau’s customizable consent and intake forms let clients sign before they arrive, so the consultation opens with the checklist half done.

The client record then holds the placement, jewelry, needle lot and your notes, so a follow-up starts from what was done. Studios that also offer spa or wellness treatments run the same setup through our spa software.

Detailed client records in Pabau
Pabau’s client records keep each piercing’s placement, jewelry and signed consent together, so you can answer a healing question in seconds.

Automated appointment reminders then bring clients back for their downsize, which every lip placement depends on.

Keep every piercing record in one place

Pabau sends consent forms before the appointment, stores each client’s placement and jewelry details, and reminds clients when their downsize is due.

Pabau client management dashboard

Conclusion

A face piercing chart earns its place when it settles the conversation before the needle comes out. Agree the numbered placement, name the risk and the healing range, then write down what you did.

Skipping that saves a minute on the day and costs far more later. A client who returns with a migrating eyebrow bar or an embedded labret will want to know what was agreed. The signed checklist and the procedure record answer that for you.

Book a demo to see how Pabau keeps consent forms, piercing records and downsize reminders on one client record.

Continue your research

Continue your research

Planning the next piercing after a face session? Ear piercing pain scale ranks ear placements by how much they tend to hurt.

Running a studio that also does tattoos? Tattoo aftercare instructions gives clients a printable healing routine to take home.

Choosing software for a spa or body art studio? Best software for spas compares booking and record systems built for spa teams.

Frequently asked questions

What is a snake bites piercing?

Snake bites are two piercings on the lower lip, one near each corner of the mouth. They’re usually done in one session and measured like any paired labret.

What’s the difference between a Monroe and a Madonna piercing?

Both sit above the upper lip, off center, like a beauty mark. A Monroe goes on the client’s left side, and a Madonna goes on the right.

Can you hide a septum piercing?

Often, yes. A circular barbell or septum retainer can be flipped up inside the nose, where it’s hard to spot. Check with the piercer before flipping a fresh septum regularly.

Do face piercings close if you take the jewelry out?

They can, and a fresh piercing may start shrinking within hours. Healed piercings usually stay open longer, but there’s no reliable timeline. Clients should keep jewelry in until they’re ready to retire the piercing.

How old do you need to be for a face piercing?

It depends on the state. Many US states let minors get pierced with a parent or guardian’s written consent, and some restrict facial placements for minors. Check your state and county body art rules.

Found our content helpful?
Avatar photo
Monika Lazarevska
Content Writer

Monika Lazarevska writes content for owners and healthcare professionals who want clear, no-fluff content that actually helps them run their practice better. With a background in storytelling and SEO, she knows how to make even the driest topics worth reading. Off the clock, you'll find her in a café somewhere in Europe, probably with a good book and an even better coffee.
×