When it comes to ear piercings, the helix piercing has become a popular choice among jewelry lovers. But as trends evolve, so do the styles and variations.
One of the more recent styles getting popular is the vertical helix piercing.
So, what’s the actual difference between a vertical helix and a regular helix piercing?
In this guide, we’ll explore everything you need to know about these two popular ear cartilage piercings, from the placement and healing time to pain levels and jewelry options.
Whether you’re getting your first piercing or you’re a seasoned piercing enthusiast, this article will help you make an informed decision about your next body modification.
What Is a Regular Helix Piercing?
A regular helix piercing is a single hole made through the upper cartilage of the ear, typically placed along the outer rim. It’s one of the most classic and versatile cartilage piercings, often chosen for its subtle yet edgy appearance.
Key Characteristics of Regular Helix Piercing
- Located on the outer upper cartilage
- Can be placed high or mid-helix
- Compatible with a wide range of piercing jewelry, like studs, hoops, and captive bead rings
- It is always recommended to get it done by a professional.
What Is a Vertical Helix Piercing?
The vertical helix piercing is a more unique and a modern twist on the traditional helix.
Instead of going straight through the cartilage horizontally, the piercing goes vertically through the rim of the ear.
Key Characteristics of Vertical Helix Piercing
- Pierced vertically through the ear cartilage
- Often uses barbells or curved jewelry
- Gives a more dramatic, standout appearance
- Considered a custom cartilage piercing with more advanced technique

Main Differences Between Vertical Helix vs. Regular Helix
If you are confused in chosing between a vertical or a regular helix, understanding the core differences can help you decide which style suits your taste and vibe.
1. Piercing Placement
Regular helix piercings are done horizontally through the outer rim of the ear while the vertical helix piercings go vertically through the cartilage, typically with an entry and exit point along the rim’s top and bottom edge.
2. Jewelry Styles
Regular helix can accommodate a variety of piercing jewelry, including studs, clickers, and hoops while vertical helix is usually fitted with a curved barbell or custom jewelry to match the angle of the piercing.
3. Healing Time
Vertical and regular helix piercings are cartilage piercings and can take 6 to 12 months to fully heal.
However, vertical helix piercings might take slightly longer due to the deeper tissue involved.
4. Pain Level
Pain tolerance varies from person to person but generally, both piercings are rated moderate on the pain scale.
Vertical helix may feel more intense initially because of the unusual angle and deeper tissue penetration.
5. Visual Aesthetic
Regular helix gives a more traditional and subtle look.
The vertical helix offers a bold and distinctive style, making it ideal for those who want their piercing jewelry to stand out.
Which One Should You Choose?
Choosing between a vertical helix and a regular helix depends on several factors:
Consider Your Anatomy
Not all ear shapes are suitable for a vertical helix piercing. A professional piercer will help in assisting you whether your cartilage has the right structure or not.
Style Preference
This solely depends on you. If you prefer a classic, minimalistic look then go for the regular helix. If you want something bold and different, The vertical helix is for you.
Healing Commitment
If you have not had a helix piercing yet, a regular helix might be easier to manage. The vertical helix requires more aftercare and patience.

Aftercare Tips for Both Piercings
Regardless of which style you choose, proper aftercare is very important. Here are some top tips:
- Clean the area twice daily with a saline solution
- Avoid touching or rotating the jewelry
- Don’t sleep on the pierced side
- Watch for signs of infection like redness, swelling, or discharge
Following these steps ensures a smooth healing process and helps prevent complications like piercing bumps or keloids.
Best Jewelry for Helix and Vertical Helix Piercings
Choosing the right piercing jewelry enhances not only the appearance but also the healing experience.
For Regular Helix:
- Titanium studs: Hypoallergenic and safe for new piercings
- Hoop earrings: Stylish and easy to change
- Captive bead rings: Classic choice for a minimalist look
For Vertical Helix:
- Curved barbells: Designed to fit the vertical shape comfortably
- Custom-made pieces: Ideal for advanced styles and personalized designs
Always choose high-quality materials like surgical steel, titanium, or gold to reduce the risk of irritation or infection.
Trends and Popularity in 2025
As we move further into 2025, vertical helix piercings have become increasingly trendy among influencers, fashion models, and piercing enthusiasts.
Their unique look and bold placement make them a top choice for people looking to stand out. Meanwhile, the regular helix piercing continues to hold its place as a timeless staple, often seen in simple and curated ear looks.
Can You Combine Both Piercings?
The answer is absolutely Yes!
Many individuals opt to combine a vertical helix with one or more regular helix piercings to create a stacked, layered ear look. This not only enhances creativity with piercing jewelry but also allows you to express your personal style.
A combination layout can be both subtle and edgy, depending on the jewelry used.
The difference between a vertical helix and a regular helix piercing lies in the placement, appearance, and healing experience. Both are great choices depending on your preference and style.
If you’re looking for something timeless and low-maintenance, the regular helix may be ideal. If you prefer something trend-setting and bold, consider going with the vertical helix.
Whichever you choose, always work with a certified piercer, follow strict aftercare routines, and invest in high-quality piercing jewelry.