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The piercings themselves are made with a medium gauge hollow piercing needle (usually 14g or 12g), and the barbell jewelry is worn during the healing period. Sometimes, a pair of captive-bead rings (CBRs) are used instead, and are exchanged for a barbell after healing is complete. Although use of CBRs will likely result in faster healing, proper alignment of the piercings is difficult when this technique is used.