The short answer is yes, a smiley piercing can absolutely get infected, like any body modification that breaks the skin barrier. This piercing gets its name because the jewelry, typically a small captive bead ring or circular barbell, is only visible when a person smiles. The smiley piercing is located in the upper lip frenulum, the thin band of tissue connecting the center of the upper lip to the gum line. Because of its discreet placement inside the mouth, it is often considered low-profile, but this location also places it in a high-risk environment for complications. Healing time typically ranges from four to twelve weeks, depending on the individual’s anatomy and adherence to aftercare protocols.
Unique Infection Risks of Oral Piercings
The environment of the mouth is naturally filled with a vast population of bacteria, creating an inherent challenge for any healing puncture wound. Oral piercings are exposed to a significantly higher bacterial load compared to external piercings. This constant microbial presence means the piercing site is continuously fighting off potential pathogens attempting to colonize the fresh wound.
The dark, warm, and moist conditions of the oral cavity provide an ideal breeding ground for bacteria to multiply rapidly. The frenulum tissue is constantly bathed in saliva, which carries food particles and debris that can irritate the piercing channel.
The location of the smiley piercing makes it susceptible to constant, unavoidable movement. Simple actions like speaking, chewing food, and smiling cause friction and trauma to the delicate frenulum tissue. This mechanical irritation can delay healing and create micro-tears, making it easier for bacteria to establish an infection. The jewelry itself can also act as a surface for plaque and biofilm to accumulate, increasing the risk of complications if oral hygiene is not maintained.
Identifying Infection Versus Normal Healing
Distinguishing between normal wound healing and a true bacterial infection is a common concern for anyone with a new piercing. Immediately after the procedure, expect certain symptoms as your body repairs the tissue trauma. Normal healing includes mild swelling that should subside within the first two to three days, slight redness around the puncture sites, and minimal tenderness.
The body produces a thin, clear or pale yellowish-white fluid called lymph, which may dry and form a light crust around the jewelry. This discharge is a healthy byproduct of healing and should not be mistaken for pus. Any discomfort should steadily decrease over time, often becoming negligible within the first week.
In contrast, a true infection presents with symptoms that are progressive and worsening. A major sign is throbbing, persistent pain that increases after the first few days. The swelling will be severe, potentially making it difficult to speak or eat, and the area may feel hot to the touch.
The most definitive sign is thick, opaque discharge, which may be yellow, green, or dark, often accompanied by a foul odor. Other serious indicators include red streaks extending outward from the piercing, indicating a spreading infection, or systemic symptoms like fever or chills. If you notice these severe symptoms, the piercing requires immediate attention.
Essential Aftercare and Hygiene Protocols
The most effective strategy for preventing infection involves strict adherence to proper aftercare and hygiene protocols during the initial healing period. The primary cleaning method should involve a sterile saline solution, often available in a fine mist spray, or a non-iodized sea salt solution mixed with distilled water. Use this solution to gently rinse the mouth two to three times per day to flush the piercing channel and surrounding tissue.
Rinsing the mouth with plain, bottled water for about thirty seconds after consuming anything other than water is also important. This action immediately removes food debris, sugar residue, and acidic liquids that could irritate the fresh wound and feed oral bacteria. This frequent rinsing minimizes the time the piercing is exposed to potential irritants.
Adjustments to your regular oral hygiene routine are necessary. Switch to a soft-bristle toothbrush to avoid snagging the jewelry. Use an alcohol-free mouthwash, as alcohol can irritate the tissue and delay healing. Brushing gently and thoroughly around the jewelry helps prevent the formation of plaque and biofilm, which harbor bacteria.
Several common behaviors must be avoided during the healing phase to prevent irritation and infection. Refrain from smoking and consuming alcohol, as both impede healing and introduce harmful substances to the wound. Avoid playing with the jewelry, even subconsciously, as this introduces hand bacteria and causes friction that leads to tissue trauma. Also, avoid foods that are excessively spicy, salty, or acidic, as these cause a painful stinging sensation and worsen inflammation.
Steps to Take for Suspected Infection
If you observe definitive signs of infection, such as thick pus, severe swelling, or escalating pain, immediate action is necessary. The first step is to contact the piercer who performed the procedure. They can assess the situation and provide guidance, potentially recommending a cleaning routine adjustment or confirming if medical intervention is needed.
If symptoms are severe—such as swelling affecting breathing or swallowing, or if you develop a fever—seek professional medical attention immediately. A physician can diagnose a bacterial infection and prescribe an appropriate course of oral antibiotics. Do not attempt to self-medicate with over-the-counter topical creams or ointments unless specifically advised by a medical professional.
Under no circumstances should you remove the jewelry unless explicitly instructed by a doctor. Removing the jewelry from an infected piercing can cause the hole to close, trapping the infection inside the tissue. This creates a closed environment where bacteria multiply, potentially leading to a painful abscess requiring surgical drainage. Keeping the jewelry in allows the infection to drain, which is an important part of the treatment process.