This piercing is a deeper piercing in the ear and has been mildly popular since around 1997. In 2017 it seemed to have a sort of revival and by 2019 it is a very common piercing. And as we have had demand for forward facing jewelled rings in 12mm size to accommodate this piercing I have recently spoken to many manufacturers to get these made and we have an increasing range of jewellery designed for this piercing coming onto the market.
It can be done with either a ring or a flat back labret both have to be large enough to allow for swelling and movement when first done. Lots of people want a nice neat fitting ring when first pierced so it hugs the ear (Which looks lovely but if done as an initial piercing the pain after a few days and the agony to change it once the ear swells just a little and becomes tight on the jewellery soon makes it so not worth getting that inexperienced piercer to put that tight fitting ring in it.) So, take your piercers advice and don’t get anything less than 10mm long in the way of a labret or 10 to 12mm inside diameter of a ring. As even if you feel it is a bit big it is so much healthier for your piercing during the healing time.
I guess we can say that 2019 is the year of the conch as far as ear piercings go. It is a very popular piercing and looks amazing when done well with the correct jewellery.