The medusa is named for its striking, commanding quality a single piercing centred in the philtrum (the groove above the upper lip) that draws the eye immediately to the cupid's bow. It is anatomically flattering on almost every face shape because it accentuates the natural focal point of the upper lip. It is symmetrical, precise, and highly visible: there is no subtle version of a medusa.
A medusa piercing sits in the philtrum — the central groove between the nose and upper lip. It rates around 4/10 on pain, takes 3–4 months to heal fully, and uses a 16G flat-back titanium labret (8–10mm) as starter jewellery. The internal disc sits behind the upper gum — correct sizing prevents gum recession.
Medusa Placement: Precision Matters More Here Than Almost Anywhere
The philtrum is a defined anatomical structure the groove runs from the base of the nose to the cupid's bow and is flanked by two raised ridges (the philtral columns). Perfect medusa placement sits:
• Centred precisely between the two philtral columns
• At the midpoint of the groove's length not too high toward the nose, not too close to the lip border
• Deep enough through the lip muscle to have a secure internal anchor
Even a few millimetres off-centre is visible on the face. This is why the medusa requires an extremely experienced piercer — it is one of the most placement-sensitive facial piercings.
Medusa Pain Level
The medusa rates around 4/10. The philtrum skin is thin but has a dense nerve supply. The sensation: a concentrated sharp sting at a very specific point, with immediate eye sensitivity (similar to the nose reflex). Most clients describe it as brief and manageable — over in under a second.
Medusa Healing Time
Expect 3–4 months for full healing. Like all lip piercings, the medusa has two healing zones: the external philtrum skin and the internal mucosa behind the upper teeth. The external skin settles within 6–8 weeks; the internal channel takes longer.
The medusa's location central face, frequently touched by fingers, impacted by eating and speaking means aftercare discipline is more critical here than for ear or nose piercings.
Medusa Jewellery
Starter Jewellery
A 16G flat-back labret, 8–10mm length. The initial bar must be long enough to accommodate the swelling that occurs in the first 1–2 weeks. Your piercer will downsize to 6–7mm at the 6–8 week check.
The Top Matters More Here Than on Other Piercings
Because the medusa sits centre-face, the decorative top is immediately visible. This is one of the few piercings where the jewellery choice has a genuine effect on facial aesthetics:
• Flat disc tops — the most understated option; skin-level, barely visible
• Small gem tops (2–3mm) — the classic medusa look; catches light against the cupid's bow
• Opal tops — warm and iridescent; very popular for medusas
• Larger statement tops (4-5mm) — bold, maximalist
Browse: Labrets collections and Tops Collection
Medusa Aftercare
• External: saline spray twice daily on the philtrum skin
• Internal: alcohol-free mouthwash after every meal
• Avoid touching the philtrum it is a reflexive habit for many people
• Avoid lipstick and lip products over the piercing during healing
• Be careful when eating food can catch on a long initial bar
Full guide: Body Piercing Aftercare
Medusa vs Labret: Which to Choose?
| Feature | Medusa | Labret |
|---|---|---|
| Position | Above upper lip (philtrum) | Below lower lip (chin dimple) |
| Visibility | Very high — centre face | High but below lip line |
| Placement precision required | Very high | High |
| Combines well with | Labret, snake bites | Medusa, Monroe, snake bites |
| Ring option (healed) | Rare — usually stays as stud | Yes — hoops popular |
| Gum contact risk | Upper front gum | Lower front gum |
Frequently Asked Questions
What is the difference between a medusa and a philtrum piercing?
They are the same piercing medusa is the common name; philtrum is the anatomical term for the location. Both refer to a piercing through the central groove between the nose and the upper lip.
Does a medusa piercing damage your gums?
With correctly sized jewellery, the risk is very low. The internal disc sits behind the upper front teeth and should be 3mm diameter maximum. A disc that is too large can cause localised gum recession over years. Downsize promptly at 6–8 weeks.
Can I get a medusa and labret at the same time?
Yes this is one of the most popular combinations. Both are flat-back labrets with the same aftercare routine. Getting both in one session is common.
How long does a medusa take to heal?
3–4 months for full healing. The external philtrum skin settles faster (6–8 weeks); the internal mucosa takes longer. Do not change jewellery before your piercer confirms full healing.
What jewellery size for a medusa?
Most medusas use 16G (1.2mm) × 8–10mm initial bar. After downsizing: 6–7mm. Top size depends on preference 3mm for subtle, 4–5mm for more visible.