An alternative which is growing in practice is the use of a hollow piercing needle, as is done in body piercing. The piercer disinfects the earlobe with alcohol and puts a mark on the lobe with a pen. It gives the opportunity to the client to check whether the position is correct or not. Then, the piercer uses a clamp with flat ends and holes at the end to hold the earlobe, with the dot in the middle of the holes. This device will support the skin during the piercing process. A cork can be placed behind the earlobe to stop the movement of the needle after the piercing process, and protect the tip of the needle for the client's comfort. Then, the piercer places the hollow needle perpendicular to the skin's surface and check the position of the needle, to pierce at the desired place and the right angle. The piercing process consists of pushing the needle through the earlobe, until it gets out in the other side. The client has to remain still during all the process. Then, the clamp can be put off. After that, the piercer puts the jewel in the hollow needle and pushes the needle through until the jewel enters into the lobe. Then, the needle is removed and disposed properly. The jewel is attached to the lobe and the piercer disinfects the lobe again.