Microdermal implants, which is also known as surface anchors have evolved from the techniques of pocketing, dermal anchoring, and transdermal implants. Basically, a microdermal implant is supposed to look like a transdermal implant, but be a realitively safe procedure, similar to body piercing. The end effect is to give the client the appearance that the jewelry is screwed into the skin

The jewelry used is similar to transdermal anchors, but smaller. The base is flat with holes, which is supposed to aid stabilization of the jewelry. The tissues are meant to grow through and around the base of the jewelry, to increase stabilization and decrease risks of rejection. To minimize longterm risks, you want to make sure that the jewelry is made of titanium rather than a type of steel.

There are generally different styles of microdermal anchors. Some of them include:
1. One large hole with an longer, oval base.
2. One medium hole and one small hole on the other side of the screw with a oval base.
3. Two small holes on one side and one small hole on the other side of the screw with a oval shaped base
4. Two small holes on one side and one small hole on the other side of hte screw with a curved base.

Some say that the microdermal implant procedure is no more or less painful than getting a surface piercing. The procedure does not involve using anesthetics or specialized tools.

You just want to make sure that you go to a qualified person who is well versed in surface anchoring.

The microdermal implant procedure is pretty simple. I've seen two different ways to have the implant inserted. The first method is by inserting a beveled piercing needle at an angle into the entry/exit point, and the second method is by using a dermal punch. With either procedure, the hole is made and the microdermal jewelry anchor is insterted into the hole and coerced into the correct placement.
As for healing a microdermal implant, the exact aftercare is not pinpointed to a particular technique, as the procedure is still pretty new. But, for the most part, you'll want to make sure to keep the area clean, dry, and free if irritants. Don't use lotions or sprays near the area, and you don't want to go swimming until the impant is healed, which can take 1 to 3 months.