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There are chances if handled carelessly, but my doll has had piercings in her ears and nose for 2 years now and it doesn’t harm her. The only advice I can give is that there should be a good supply of material left, so choose your jewelry carefully.
IMG_20231118_171058360.jpg (1.73 MiB) Viewed 316 times
IMG_20231204_132100260.jpg (2.83 MiB) Viewed 316 times
I have seen nipple and belly button piercings on dolls several times. It does look attractive, but I can't help but wonder if they'll tear with regular use. Not something I've tried, but maybe some day.
There's no harm in it per se, as long as the earring composition isn't harmful to TPE. TPE doesn't play nice with copper and brass for instance. Personally, I prefer clip-on type earrings. I'm always afraid I'll snag the pierced ones when combing my gal's hair.