No Piercing Required! This Ear Cuff has been carefully designed to fit comfortably without falling off. It is handmade with pliable metal that can be slightly adjusted to your specific needs. We test our ear cuffs on various people before finalizing the size, to assure a perfect fit on all forms and shapes. We also test them out to make sure they won't easily fall off before manufacturing the final product. The end result, is a range of ear cuffs that you can buy with confidence, knowing that it will fit and stay put!