Piercing has become a widespread fashion trend in Western industrialized na
tions within recent years. The invasive application of ornaments through cu
taneous and mucosal surfaces enables the penetration of various pathogens i
nto subcutaneous tissue. The authors describe the hazards of piercing and f
acial body art as they apply to 3 patients. Perichondrial auricular abscess
, granulomatous perichondritis of the nasal ala, and embedding of a stud in
the lower lip were the respective diagnoses. Literature was reviewed for t
he cultural origins and current practices of piercing, the legal background
of piercing as a business, typical medical complications. and treatment re
commendations. Numerous communications have been published on medical compl
ications of piercing. The patients presented and the review of the literatu
re illustrate that piercing is not a harmless fashion and that regulations
of piercing as a business seem desirable to prevent further complications.