Theperfectpiercing takes time and precision! PerfectPiercing: Back DermalPlacement Process. Ear Piercings Surface Tragus. Smiles, laughter, and a gorgeous dermalpiercing to match! Angelo takes you through the journey of placing this flawless cheekbone dermal anchor, with a client who couldn’t be happier wit... A dermalpiercing starts with an anchor that's inserted underneath your skin. Once the anchor is in place, your piercer will top it off with the jewelry you picked out. If a dermal puncher is used, the jewelry won’t have an interchangeable top. Your piercerplaces the base just under the skin using a special tool. The top then attaches to this base, showing only the decorative part on the outside. This design allows for creative placements on flatter areas of the body where traditional piercings might not work well. Your Guide to thePerfectPiercing and Tattoos. Piercing History & Culture.A hip piercing is a surface or dermalpiercingplaced on the skin over or just beside the hip bone. It does not pass through the bone — the jewelry sits within the layers of skin in the pelvic area. A dermalpiercing involves placing a small anchor beneath the skin so that only the decorative top remains visible.