This gem is very small and fits snugly on my nose. I had no problems for the first month of use but I started to feel pain when twisting this ring in my septum and eventually 2 large bumps formed next to the piercing. I couldn't take it myself, so I went to my trusted piercer. After 15 minutes, they were able to pull out the jewelry using a large tool and a lot of patience. The reason for the pain was that the burr of the jewelry hole was rubbing against my skin, which eventually caused an ulcer and inflammation. I *do not* recommend buying this baffle piece. It is hard to take it off by yourself even if you have standard jewelry removal tools, and you may experience the same as me. I'm usually good with piercings so this was amazing.
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