Nape piercing
Somewhat less common are surface anchors, commonly made from surgical implant-grade titanium. A surface anchor has two parts: a base or foot which is inserted under the dermis during the piercing process and which incorporates a stem exposed to the surface, and a decorative disc or ball of jewelry which typically appears flush with the surface of the skin. Surface anchor nape piercings are most commonly found placed symmetrically on either side of the spine at the nape.
Anchor
A mushroom anchor will normally sink in the silt to the point where it has displaced its own weight in bottom material, thus greatly increasing its holding power. These anchors are only suitable for a silt or mud bottom, since they rely upon suction and cohesion of the bottom material, which rocky or coarse sand bottoms lack. The holding power of this anchor is at best about twice its weight until it becomes buried, when it can be as much as ten times its weight. They are available in sizes from about 5 kg up to several tons.