Conch
piercing
The inner bowl of the ear — a statement placement for larger, more architectural pieces.
The ear's centrepiece
The conch sits in the broad inner bowl of the ear. It's one of the most visually prominent placements we offer — and one of the few that can support larger, more sculptural jewellery without competing with surrounding piercings.
Because of the size of the cartilage plate, we can choose between inner conch (closer to the canal) and outer conch (toward the helix rim). Each creates a different visual rhythm within a curated ear.
The conch is placed with a 14g needle for strength, and we fit a longer, straight flatback post. Placement is meticulous — a conch sits visible from many angles, so millimetres matter.
Exactly what to expect
What healing looks like
Tenderness, some swelling
Normal. Side-sleeping on the opposite side is essential — conch pressure drives bumps fast.
Inflammation reduces
Saline rinses continue. Keep headphones off the pierced side completely.
We see you back
Complimentary downsize. A shorter flatback once swelling has settled prevents long-term tension bumps.
Remodelling complete
The channel is stable. A statement BVLA piece often replaces the starter at this point.
Nine rules. No exceptions
Cartilage heals slowly because it's avascular — blood doesn't reach the tissue the way it does in a lobe. Following these precisely is the difference between a clean heal and months of trouble.
- 01Saline rinse twice dailySterile saline only. No hydrogen peroxide, alcohol, or tea tree oil.
- 02Do not twist or rotateThe jewellery should move only when you downsize it. Rotation tears fresh tissue.
- 03Sleep on the opposite sidePressure during sleep is the leading cause of cartilage bumps. A travel pillow helps.
- 04No pools, oceans, or saunasFor at least six weeks. Water carries bacteria; heat delays healing.
- 05Phones kept cleanA phone against the ear is one of the dirtiest objects to contact a fresh piercing.
- 06Dry with clean tissue onlyPat dry — never rub. Bath towels harbour bacteria and snag on jewellery.
- 07Return for downsize at 3 monthsIncluded free. A long post on a healed piercing is what causes long-term bumps.
- 08No jewellery changes before 6 monthsUnless we do it for you. DIY changes on partially healed cartilage re-start healing.
Conch work
Questions we're asked, often
If your question isn't here, bring it to the consultation. We'd rather answer it in person.
Does it hurt?
Conch is thicker cartilage so it takes a beat longer than a helix, but still brief. Soreness during the first fortnight is more notable than the placement itself.
Can I sleep on it?
Not during healing — strictly opposite side only for six months. A travel pillow helps. Conch pressure is the most common cause of cartilage bumps we see.
Can I wear earbuds?
Deep in-ear buds tend to press against a healing conch. We recommend switching to over-ear on the opposite side, or bud-free entirely, for the first three months.
Can I pierce both sides?
We strongly recommend staggering by at least three months. Side-sleeping issues are non-negotiable with conch — you need one healthy side.
What jewellery looks best?
Conch is where we fit our most architectural BVLA pieces. The broad cartilage plate supports pieces that would overwhelm a helix or tragus.
Book your conch
All placements are by appointment. Expect a 45-minute slot, start to finish — with full anatomy consult, sterile placement, and aftercare included.
Jewellery for your
conch
The conch is a showcase placement — larger pieces with presence sit beautifully here. Every piece is fitted to your anatomy at consultation.
Browse all 88 BVLA pieces →