The smiley piercing is an oral modification placed in the upper lip frenulum, the thin flap of tissue connecting the inside of the upper lip to the upper gums. The jewelry is typically only visible when a person smiles, earning the piercing its name. Because the mouth is constantly exposed to bacteria from food and saliva, meticulous hygiene is necessary for successful healing. Proper aftercare prevents complications, including infection, rejection, and potential damage to the teeth and gums.
Essential Daily Cleaning Protocol
Maintaining a rigorous daily cleaning routine is the primary defense against complications. The most effective method involves rinsing the mouth with a sterile saline solution or an alcohol-free mouthwash. This should be performed at least twice daily, and ideally after every meal or snack.
For a saline solution, a commercially approved piercing aftercare spray is recommended, or a solution can be made using non-iodized sea salt mixed with distilled water. Gently swish the solution around the mouth for about 30 seconds, ensuring it reaches the frenulum area, then spit it out. The location of the piercing prevents the use of a traditional saline soak.
Overall oral hygiene must be maintained by brushing teeth twice daily using a soft-bristled toothbrush and a mild-flavored, non-abrasive toothpaste. A separate toothbrush can be used carefully to brush the jewelry itself to prevent plaque buildup. Always wash hands thoroughly before touching the piercing or performing any aftercare.
Recognizing and Addressing Complications
Differentiating between minor irritation and a true infection is important. Irritation presents as temporary redness, slight swelling, mild tenderness, or a small amount of pale yellow or clear discharge that may dry into crust. This reaction is usually caused by accidental trauma, harsh cleaning products, or excessive jewelry movement, and can often be resolved by returning to a strict cleaning regimen.
A genuine infection is characterized by severe and persistent symptoms, demanding immediate attention. Signs include intense, spreading redness, throbbing pain, significant swelling that does not subside, and a thick discharge that is dark yellow, green, or grey. A fever or general feeling of being unwell may accompany a severe infection.
If symptoms suggest a true infection, a medical professional must be consulted, as antibiotics are typically required for treatment. Do not remove the jewelry while an infection is present, as this can cause the piercing site to close, trapping bacteria inside and potentially leading to an abscess. For minor issues like a piercing bump (hypertrophic scarring), consult with a professional piercer for specific management techniques.
Navigating the Healing Period
The healing timeline for a smiley piercing often ranges between four and twelve weeks, provided proper aftercare is consistently followed. The initial jewelry selected should be an implant-grade material, such as titanium or 14-karat gold, to minimize the risk of allergic reaction and optimize the healing process.
During the healing duration, several lifestyle adjustments are necessary to prevent irritation and infection. Avoid unnecessary manipulation of the jewelry with the tongue or fingers, which introduces bacteria and causes trauma to the delicate tissue. Refrain from consuming alcohol, smoking, and using mouthwashes that contain alcohol, as these substances impede healing.
Dietary modifications are also advised, including avoiding hard, crunchy, sticky, or spicy foods that could snag the jewelry or irritate the open wound. Once the initial swelling has subsided (typically within four to six weeks), return to the piercer to have the jewelry “downsized” to a smaller piece. This step is important to reduce the chance of the jewelry rubbing against the teeth and gums, which can cause long-term dental damage.