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Stretching (often colloquially referred to as gauging), in the context of body piercing, is the deliberate expansion of a healed fistula (hole in the skin) for the purpose of wearing body piercing jewelry. Ear piercings are the most commonly stretched piercings, with nasal septum piercings, tongue piercings, industrial piercings and lip piercings/lip plates following close behind. All piercings can be stretched to some degree, however. Cartilage piercings are usually more difficult to stretch, and more likely to form hypertrophic scars or keloids if stretched quickly. Healing is very important in between stages of stretching.
Stretching is usually done in small increments to minimize the potential for damaging the healed fistula or creating scar tissue. In North America, most stretching methods go up by a single even-sized gauge at a time. In Europe and most of the rest of the world, jewelry is metric, but the increments between standard sizes are similar.
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There are several common methods used to enlarge piercings, of various origins and appropriate for different circumstances.
Please note that, no matter the method used, any individual who is stretching their piercing should wait at least one month between each stretch--more at sizes above 6g, and up to 3-4 months at sizes above 00g. Blood that results from stretching is a sign to wait longer until the fistula heals completely. The healing process after a tear will also take at least one month.
Failure to follow this timeline, particularly with earlobe piercings, will result in puckered lobes (commonly referred to as "cat ass" due to its resemblance to the feline anus), thin lobes, and can cause lobes to tear apart completely. Stretching earlobes is considered to be a permanent modification, as it is possible that even only slightly stretched earlobes will never return to their original size. It is for this reason that one should stretch slowly and carefully, or face surgery to reconstruct the scarred flesh that is the result of impatience.
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There are few health issues directly related to stretching piercings. Most stretching methods do not create a wound, and properly stretched piercings will heal after stretching, although if an individual's skin elasticity and vascularity allow, most piercings can be stretched far beyond their initial size. Piercings smaller than 10 mm will close up when jewelry is removed[citation needed]. Some have claimed that up to 18 mm can close effectively, although some piercings take longer than others depending on the individual, body part, and age. Anything up to 9mm is completely safe. However, each person's tissue will differ, and many variables—such as a person's age, length of time taken to stretch, time fully healed at a particular size, skin elasticity, and scar tissue formation, amongst others—can affect the ability of the skin not only to stretch, but also to close up. However, if you stretch them correctly and let them heal for at least 4-6 weeks before going bigger, your lobes should be healthy and will shrink at least a couple sizes after the jewellery is removed.
If taken beyond the body's ability to stretch, or if done improperly, damage caused can require minor surgery to repair, or may not be repairable. Blowouts from over -stretching, especially ones caused by "dead stretching", can create scar tissue, which can lead to keloiding or hypertrophic scarring. Stretching too quickly, or skipping from one smaller gauge to a gauge more than one size larger, can cause bleeding and infection and eventually lead to a buildup of scar tissue. Scar tissue is more difficult to stretch than unharmed skin, and can make further stretching difficult.
However, application of Bio oil(vegan), emu oil, vitamin E, Jojoba oil, or other similar oils can reduce the size of blowouts and enhances the circulation of blood flow going to the skin around the stretched fistula, thickening the flesh and allowing more elasticity and a healthier piercing. Additionally, downsizing--moving from a larger size to a smaller size intentionally--can help build collagen in the earlobe, which will thicken the lobe, reduce the puckered "cat-ass" appearance of earlobes that have been stretched too quickly, and keep earlobes healthy.
There is a large variety of jewelry available for stretched piercings. Many jewelry materials can be used in the manufacturing of jewelry for stretched piercings; materials that would ordinarily be too delicate or brittle to be inserted in smaller gauge piercings are freely used. Stone, fossilized materials, wood, bone, horn, amber, bamboo, silicone, and glass are not uncommon in stretched piercings. Many of these materials "breathe" better than metals or plastics, preventing the buildup of sebum in the enlarged ear lobe. Jewelry is still often made of acrylic or metal, however.
The typical jewelry worn in a large stretched piercing is a plug. It is solid and usually cylindrical, and may be flared out at one or both ends (saddle-shaped), or kept in place by o-rings fastened around the ends. A variation on this is the flesh tunnel, which is shaped in the same way, but hollow in the middle. Claw-, talon-, and spiral-shaped pieces are also commonplace. Ear-weights in varying degrees of size are also worn, commonly made from silver or bronze, though other metals such as copper or brass are occasionally used. However, some people's piercings are easily irritated by some metals; therefore, care should be taken when metal jewelry is worn. Ear cuffs (such as the gold ones utilized in South India provinces) or wrapped beadwork (common amongst the Maasai of East Africa) are other options, though are not usually seen in modern Western contexts.
Stretched piercings are probably almost as old as piercing itself. Earlier versions of all modern stretching techniques are known to exist, in one degree or another. Evidence from statuary, especially in Asia, shows us that stretched earlobes were common thousands of years ago and the practices of many African and South American tribes today include stretched lip piercings, some of phenomenal size.
In contemporary times, the re-emergence of body piercing in the developed world has been accompanied in an interest in stretched piercings. Much of this activity was initially associated with the modern primitive movement, but like piercing in general, it has become a more mainstream activity, common amongst young people and members of many subcultures as an identifier and due to its aesthetic appeal to the masses.
Body jewelry is measured in gauges from 20g up to 00g; sizes larger than that are measured in fractions of inches. 000g are no longer called that anymore, they are just referred to as 7/16". It is very rare to find a gauge under that name anymore. In Europe and Australia they are measured in millimetres.
The table below uses rounding; conversions are not precise.
| Gauge | Millimeters | Inches |
|---|---|---|
| 18g | 1.0 mm | 5/128" |
| 16g | 1.2 mm | 3/64" |
| 14g | 1.6 mm | 1/16" |
| 12g | 2 mm | 5/64" |
| 10g | 2.4 mm | 3/32" |
| 8g | 3.2 mm | 1/8" |
| 6g | 4 mm | 5/32" |
| 4g | 5 mm | 3/16" |
| 2g | 6 mm | 1/4" |
| 0g | 8 mm | 1/3" |
| 00g | 10 mm | 3/8" |
| 11 mm | 7/16" | |
| 12.7 mm | 1/2" | |
| 14 mm | 9/16" | |
| 16 mm | 5/8" | |
| 19 mm | 3/4" | |
| 22 mm | 7/8" | |
| 25 mm | 1" |
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