• i think you mean subdermal implants. the procedure basically goes like this: they would make an incision in the body & then would create a pocket between tissue & insert the implant, then sew up the incision with stitches. they are usually made of silicon. they're risky. i refuse to do them in my shop. i don't nor will i ever have the training & i'm not a doctor.
  • There are microdermals, which are getting common, that are small transdermals. They are often inserted with a needle alone, and the needle is used to create a pocket for the base. Some body mod artist disagree with this method, and prefer a dermal punch and dermal elevators, a similar method to the older transdermals. A tiny piercing that looks like one half of a barbell is probably a microdermal. There's also regular transdermals, which are larger and harder to remove. An incision near the piercing site is used to create a pocket, the jewelry is slipped underneath, and comes out a hole made from a dermal punch. Transdermals will usually leave a small incision scar, micros do not since the are inserted at the piercing site instead of through a separate incision. The jewelry for both is implant grade steel or titanium. Metal spikes on a person's head are usually going to be transdermals. Subdermals go under the skin completely, and can be silicone, teflon, or implant grade metals. If you see someone with bumpy horns or a star shape under their forearm skin, it's a subdermal. It's the same procedure as transdermals without an exit hole.

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