Follow these guidelines for marking the ears:
First Ear Piercing：Place the dot on the center of the earlobe. Draw an imaginary line across the customer’s face to ensure the ears are marked as evenly as possible. (Figure A)
Multiple Earlobe Piercing：For an additional or multiple earlobe piercing, follow the natural line of the earlobe and place the dot approximately 3/8” up from the last hole. Spacing should never be closer than 1/4” because there would not be enough room for the earring back. Check the customer’s preference for earring styles. If large earring styles will be worn, more space will be required between holes. (Figure B)
Cartilage Ear Piercing：For cartilage ear piercing, place dot on the flat portion of the ear, close to but not inside the curl. If you pierce inside the curl, the earring back will be exposed from the front view. (Figure C)
Do not pierce any other body parts. Do not pierce in the shaded area represented in Figure D.
Important：Before ear piercing, using a mirror, have the customer or parent check the location of the marks to make sure she/he is satisfied with the placement.