Blackened ear piercing after ear piercing. This is a clinical indication that there may be a local infection after the piercing. The blackening may be caused by localized necrosis of the skin around the ear piercing or by rust from the earring studs. In this case, it is recommended to visit an ENT clinic, where the doctor will first remove the studs from the ear piercing and check the infection inside the ear piercing and how far the infection may have gone. If the infection is only in the skin of the soft tissues inside the ear, this symptom is usually treated by anti-inflammatory disinfection and recovery may be relatively fast. If it involves the cartilage inside the ear, clinically this condition requires removal of the necrotic tissue from the cartilage surface. Otherwise, it may cause further necrosis of the cartilage and lead to serious ear deformities or other changes. For the blackening of the ear piercing after piercing, both local anti-inflammatory and systemic anti-inflammatory medication should be applied.