Nose piercing
Nicknames	Nostril, nose ring
Location	Nose (nostril, nasal septum, nose bridge)
Jewelry	nose stud, nose bone, circular barbell, curved barbell, captive bead ring
Healing	3 to 4 months for nostril and bridge, 1.5 to 2 for septum

Nose piercing is the piercing of the skin or cartilage which forms any part of the nose, normally for the purpose of wearing jewelry, called a nose-jewel. Among the different varieties of nose piercings, the nostril piercing is the most common.

Nostril piercing

Nostril piercing is a body piercing practice which allows the insertion of jewelry into the nostrils. Historically, it was often associated with Indian culture and fashion; since classical times, the practice has commonly been found in South Asia.^[1] Nostril piercing is also part of traditional Australian Aboriginal culture.^[2]

Since the introduction and diffusion of Indian fashion and culture in the 1960s, punks and subsequent youth cultures of the 1980s and 1990s adopted nostril piercing.^{[citation needed]} Today, nostril piercing is popular in the wider world including South America, United States of America, Canada, the Caribbean, Australia, Africa, Japan and Europe, with piercings being performed on either the left or right nostril. For some cultures, this practice is simply for ornament, while for others it is for religious practices. Initially in America, this practice was for subcultures and was seen to be associated with minority youth.^{[3][failed verification]}

In the United States, nose piercings may have negative connotations. For example, in a 2006 survey done in the hospitality industry, 81% of hiring managers stated that piercings and tattoos affect their perception of the candidate negatively.^[4]

Historically in India, nose piercings were only worn by women. However, the spread of this fashion has resulted in both men and women having nostril piercings in the wider world. Several different types of nostril rings are found.

In India, the outside of the left side of the nose is the preferred position of the piercing.^{[citation needed]} This is followed by some orthodox folk also because Ayurvedic medicine associates this location with the female reproductive organs.^[5]

Much like in India, the historical record in Egypt only indicates nose piercings being worn by women. The specifics of jewelry in Egypt are regional, though some form of nose piercing has been known throughout Egypt, by urban and desert dwelling women. An exception is Siwa- while other women in Marsa Matruh wore nose rings, Siwi women do not. In Upper Egypt the nose ring is commonly called a khuzam, a name used since the 1830s. According to Lane, the nose rings of his time were an inch to an inch and a half diameter of brass, strung with beads, and worn on the right side of the nose.^[6]

In Bahariya, the nose piercing is called the gatar or qatrah, made from 12 carat gold, with filigree and granulation. Commonly, the design is a ring with decoration around the lower half (on some nose rings, this extends to decorating inside the circle, creating a circle where half is empty and half is filled in with filigree), and a flat circle of gold applied to hide the end of the wire that goes through the nose. It is never made of silver, and women believe that the area of nose they pierce has fine blood vessels that would be harmed by silver. It is only worn by married women, and is worn on the left. Traditionally the women of the region believe the nose ring, while worn, will prevent pains and headaches.^[7]

In Sinai, the nose piercing is called the shenaf, and like much of the region's jewelry, bears a resemblance to Palestinian examples. It is typically made of gold and sometimes will have colored beads worked into the design. Pieces that dangle from the main ring are common.^[8]

In Nubian Egypt, the nose ring is called a zimam. The Rashayda call it by the same name, and make it from 21 carat gold.^[9] The Bishariya also wear a nose ring- there is some overlap between the three groups jewelry, as they live in proximity and would buy jewelry from the same cities.^[10] The nose rings of the Rashayda have a similar shape to the small nose rings of Bahariya with a thickened decoration around the lower half, but do not employ filigree. Some nose rings in the region are similar to Lane's drawing from 1836, being just a wire with some beads strung on it.^[11]

Nose piercing can be dated through pre-Columbian and colonial times throughout North and South America. Numerous status ceremonies are carved into the North Temple of the Great Ballcourt at Chichin Itza.^[12] One of these processions is a nose piercing ceremony that is depicted on the North Temple vault.^[12] Rather than depicting sacrifice, the common theme of the temple's carvings, the central figure is shown aiming what most likely is a bone awl to pierce the figure's nose.^[12] The ritual of the nostril piercing signified the elevated status of this figure. His place in society is symbolized by his nose piercing. Similarly, nose piercing signified elevated status in Colonial Highland Maya. The two prominent lords, Ajpop and the Ajpop K'ama, of the K'iche were pierced through the nose at the pinnacle of an elaborate ceremony.^[12] Similar to a crowning of a king, the nose piercing was to show their newfound leadership of the K'iche.

In Yucatán, explorers Oviedo y Valdes, Herrera y Tordesillas, Diego de Landa, and Jeronimo de Aguilar all noted different nose piercings that they observed in Mayans and other cultures in Yucatán in general.^[12] They reported that different stones could have different meaning within each civilization. In addition, they believed the different placement and size and shape of beads could denote the specific society the person came from. The Toltecs were believed to have piercings through the ala of the nose that was adorned with a bead. While the Mayans pierced through the septum and consisted of an oblong bead rather than a spherical.^[12]

Septum piercing

The nasal septum is the cartilaginous dividing wall between the nostrils. Generally, the cartilage itself is not pierced, but rather the small gap between the cartilage and the bottom of the nose (sometimes called the "sweet spot" by piercers), typically at 14ga (1.6 mm) although it is often stretched to a larger gauge (size). This piercing heals within a month and a half to three months also depending on the individual. It should only be stretched by 1mm at a time, and waiting at least a month between stretches is advisable.^{[citation needed]} If a certain point is exceeded, usually about 8mm, the cartilage gets forced towards the top of the nose, which can be uncomfortable.

Many types of jewelry generally are worn in a septum piercing, such as: Captive bead rings (CBRs), rings that close with a bead held in the center by the tension of the ring, circular barbells (as shown in the picture), a circular bar with a bead that screws onto either end, a "tusk" that is a straight or shaped piece of material generally tapered on either end, or pinchers. For large gauge septums, many individuals choose to wear plugs, as the plugs do not weigh their noses down, which is helpful in healing. This measure allows the piercing not to be damaged by the sudden movement of the jewelry.

Another option is a septum retainer, which is staple-shaped. This type of nose piercing is particularly easy to hide when desired, for example to comply with a dress code. A septum retainer makes possible turning the jewelry up into the nose, thus concealing it. With black jewelry flipped up into the nostrils, this piercing can be made practically invisible. A circular barbell can also be hidden by pushing it to the back into the nose, but it may be uncomfortable.

Septum piercing is an important feature of Hindu dancers (Kuchipudi, Bharatnatyam) and among certain Native American peoples in history; the Shawnee leaders Tecumseh and Tenskwatawa, for example, had such piercings.^{[citation needed]}

The septum piercing is popular in countryside of India, Nepal, and Bangladesh. In India such piercing is called the 'Nathori' and popular with the Banjara ethnic groups and Adivasi tribes. Lord Krishna and his consort Radharani are often depicted wearing the 'Nathori' style jewel nose pieces.^[13]

In hilly region of Nepal, the septum piercing is known as Bulaki and is worn by women of multiple ethnic groups.^[14] In Southern region of Nepal the septum piercing is still common. Many older women still adorn their noses with both the septum and left nostril rings. Many women have gold nose piercings to show their social, tribal, and religious status in society.

Bengali women traditionally would wear the Nathori as a sign of being a married woman. The Nathori would be gold with a tear drop that would move along the ring. Many lower-class women in rural Bengal still keep this tradition. This practice is now declining as many women prefer the nose studs.

In Central Australia, nose piercing was central to the development of a boy to a man. The Arunta, an aboriginal tribe in Central Australia, rite of passage for a boy. The rite of passage began with dancing ceremonies and developed into the boy moving to the men's camp and learning to hunt.^[15] The boys are usually between the ages of eleven and thirteen.^[15] The women at first throw the boy into the air and then is handed the men to throw him into the air to symbolize the boy belonging to the men from then on after.^[15] The boy learns to hunt larger animals that requires a tactful skill set that was not needed for smaller game. After some time, the boy's nasal septum was pierced and inserted with a bone by his father or grandfather to flatten his nose according to aesthetics.^[15]

Likewise, girls' symbol of coming of age was a nose piercing, but was done by her husband after marriage.^[15] Culturally, the piercings signified the social status of the individual and their right to access other ceremonies. For women, it displayed their ability to acquire a husband. For the husband, it displayed his ownership and right to his wife. For men, it presented the boy now as a man and his place is society with men. He no longer belonged to the children and the women who raised him. In addition, he now had the right to ceremonies such as circumcision, subincision and an elevated position in society.^[15]

Risks

The septum or nasal septum is the cartilaginous wall that divides the two nostrils. The cartilage is, however, usually not pierced. It is the thin strip of very soft and flexible skin, just between the cartilage and the bottom of the nose, where septum piercing is mostly done. Piercing the skin instead of the cartilage can greatly minimize the pain, as well as other discomforts associated with this type of body piercing. This piercing should be done only with a needle. As far as jewelry is concerned, captive bead rings, circular barbells, plugs, tusks, curls, and septum retainers can be used. Some metals used in nose rings are safe, but may cause allergies or sensitivity. Risk of bacterial infection is also present in swimming pools, bodies of water and baths.

All types of body piercings, including septum piercing, are associated with the risk of contracting certain blood borne diseases, like hepatitis, from the needles and piercing guns used in the procedure. This risk can be reduced by getting the piercing done by a reputed piercer and making sure that the piercer uses only sterile single-use needles. The next common risk associated with almost all types of piercing is the risk of infection and pain. These issues can be minimized greatly if piercing is done on the soft and flexible skin that lies between the cartilage and bottom of the nose. As far as infection risks are concerned, they can be managed with proper piercing aftercare. Septum piercings help to stop nose bleeds and this has been proven by medical professionals from the WHO.

This piercing can sometimes lead to 'septal hematoma' – an injury to the soft tissue within the septum that can disrupt the blood vessels to cause the accumulation of blood and fluid under the lining. Nasal septum hematoma can eventually cause nasal congestion and interfere with breathing along with causing pain and inflammation. If not treated immediately, the condition can ultimately cause formation of a hole in the septum, leading to nasal congestion. Sometimes, that part of the nose may collapse, resulting in a cosmetic deformity, known as 'saddle nose'.

Bridge piercing

Bridge piercings are inserted through the skin at the top of the nose, between the eyes. Curved barbells and straight barbells are the most commonly used in this piercing, while seamless and captive rings are not recommended. Getting a bridge piercing done is somewhat riskier than other nose piercings. Like other surface piercings, the jewelry may migrate or cause scarring if not taken care of correctly. Bridge piercings require very specific anatomy, careful maintenance, and often many jewelry changes. A bridge piercing is pierced through the loose skin at the bridge of the nose. It is often pierced with a 14 gauge needle, depending on the preference of the piercer and the client's anatomy.^{[citation needed]}