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Face piercings

Smiley piercing: the hidden one behind your upper lip

5 min read·May 7, 2026·By the GetMarkd team
Pain
3/10
Healing
4–12 weeks
Starter jewelry
16g circular barbell, implant-grade titanium

A smiley goes through the small piece of tissue called the upper frenulum — the strip of skin connecting your upper lip to your gums. It's hidden until you smile, which is the whole appeal.

It's a controversial piercing

Smileys have one of the highest rejection rates of any oral piercing because the frenulum is thin, fragile, and constantly moving. Many also damage tooth enamel and pull at gum tissue over time, leading to gum recession in the front teeth. The Association of Professional Piercers has flagged this risk.

If you still want one

Only go to a piercer who explicitly does smileys regularly. Ask for the thinnest jewelry possible — a 16g or 18g circular barbell in implant-grade titanium with the smallest beads. Avoid anything larger or heavier.

Healing

Surprisingly fast — 4–12 weeks for the outside. Rinse with alcohol-free saline mouthwash after every meal. Avoid spicy foods for the first week.

FAQ

Will a smiley damage my teeth?

It can, especially over years. The jewelry rubs against the back of the upper front teeth. If you notice enamel wear or gum recession, retire the piercing.

Does a smiley close fast?

Yes — if you remove the jewelry for more than a day, even years in, the frenulum often closes.

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