I have always found two nose piercings more interesting than a single piercing because there are so many ways to arrange them. You can keep the look simple with two tiny studs, create symmetry with one piercing on each nostril, or build a stacked look with two piercings on the same side.
The term two nose piercings can mean slightly different things. Most often, people mean two nostril piercings, also called a double nostril piercing. It can also describe combinations such as a nostril and septum piercing or a standard nostril and high nostril.
For me, the best choice depends on the look I want, the jewelry I plan to wear later, how I sleep, and how much healing I am ready to manage. A good placement should also work with the natural shape of the nose rather than simply copying a photo.
What Are Two Nose Piercings Called?
Two nose piercings are commonly called a double nose piercing. If both piercings are nostril piercings, the more specific term is double nostril piercing.
A double nostril piercing can be placed in several ways:
- Two nostril piercings on the same side
- One nostril piercing on each side
- A standard nostril and a high nostril
- A nostril piercing paired with a septum piercing
The last option is sometimes included under the broad term two nose piercings, but it is different from a double nostril because the septum has a separate placement and healing process.
So, if I were searching for two nose piercings because I wanted two holes in my nostrils, I would focus on the term double nostril piercing.
What Is a Double Nostril Piercing?
A double nostril piercing means having two separate nostril piercings. They can sit close together on one side or be placed on opposite sides for a symmetrical look.
A same-side arrangement is sometimes described as a stacked nostril piercing, especially when the two piercings sit one above the other. When one nostril is pierced on each side, the arrangement can also be described as a bilateral nostril setup.
The placement changes the whole appearance.
Two piercings on one side give a stacked or layered effect. One piercing on each side gives the face a more balanced appearance. A standard nostril combined with a high nostril creates a more vertical arrangement.
I would also plan the jewelry before deciding on the exact placement. A setup that looks good with two studs may need different spacing if I eventually want one stud and one hoop.
Types of Two Nose Piercings
Two Nostril Piercings on the Same Side
This is one of the most popular double nostril arrangements. Both piercings sit on the same nostril, either one above the other or close together at a similar height.
I like this setup for a more layered look because I can use two small studs, a stud and hoop, or two small hoops after the piercings have healed.
The main thing I would think about is spacing. If the jewelry sits too close together, it can look crowded. If it is too far apart, the two piercings may look like unrelated placements.
Two Nostril Piercings on Opposite Sides
This setup places one nostril piercing on the left side and one on the right side.
It is a good choice if I want symmetry. Matching studs can create a very clean look, while different jewelry can make the arrangement feel less formal.
I would focus on visual balance rather than expecting both sides of the nose to be perfectly identical. Human faces are naturally uneven, so the best placement may involve slightly different measurements on each side while still looking balanced.
Standard Nostril and High Nostril

A standard nostril piercing sits lower on the side of the nose, while a high nostril is placed higher up.
Putting both on the same side can create a vertical double-piercing effect. This can look striking with small studs, but I would plan the jewelry carefully because the two placements need to work together.
High nostril piercings can also have different healing needs from a standard nostril, so I would discuss the placement and long-term jewelry plan with an experienced piercer before getting both.
Nostril and Septum
A nostril piercing and septum piercing can also be viewed as two nose piercings.
This combination gives me two different visual points: one on the side of the nose and one in the center. The jewelry can be coordinated with matching metals or kept deliberately different.
I would keep this section separate from double nostril piercings because the placements are different. If I wanted detailed information about septum jewelry, healing, or placement, I would use a dedicated septum guide instead.
Two Nose Piercings on the Same Side

A same-side double nostril is one of the easiest ways to create a layered nose piercing setup.
I would consider the final jewelry before the piercer marks the second hole. For example, two tiny studs need less visual space than two hoops. A stud above a hoop also needs enough room for both pieces to sit comfortably.
Two Studs
Two matching studs are the simplest option.
I like this idea for a clean look because the jewelry stays small and the two piercings become the main feature.
I could also use two different stone sizes while keeping the same metal. That creates some contrast without making the setup look busy.
Stud and Hoop

A stud and hoop give me two different shapes in the same area.
The small stud keeps the upper part of the nostril simple, while the hoop gives the lower piercing a more noticeable shape.
I would wait until the piercings are properly healed before switching to a hoop. Starter jewelry and final jewelry serve different purposes, and the jewelry that looks best later may not be the best choice during early healing.
Two Hoops
Two small hoops can create a bold stacked look.
I would be careful with this option because the hoops need enough space to sit without crowding each other. The diameter of each hoop also affects how the final setup looks.
This is something I would plan with the piercer before the holes are made rather than trying to make the jewelry fit afterward.
Two Nose Piercings on Both Sides

One piercing on each nostril gives me a very different look from a same-side double.
The biggest benefit is symmetry. Two matching studs can look simple and balanced, while two matching hoops create a stronger statement.
I would also think about any other facial jewelry I already have. A centered septum ring, for example, can work with matching nostril studs and create a balanced three-piece nose setup.
The goal does not need to be mathematical symmetry. Since the two sides of the nose may differ naturally, I would aim for visual balance instead.
Best Two Nose Piercing Ideas
There are many ways to style two nose piercings without making the jewelry look crowded.
Two Matching Studs
This is the option I would choose for a simple and balanced look.
Two small studs can work on the same side or opposite sides. Matching metal and similar stone sizes keep the setup neat.
Stud and Hoop

A stud and hoop give me two different shapes in the same area.
For a same-side double nostril, I like the idea of placing the stud higher and the hoop lower. The contrast makes the setup more noticeable without requiring large jewelry.
Two Matching Hoops
Two small hoops can give a stronger alternative look.
I would use this style after healing and make sure the hoops have enough space to sit comfortably. The hoop diameter matters just as much as the piercing position.
Different-Sized Studs
I can keep both piercings simple while still creating some contrast.
For example, a slightly larger lower stud with a smaller upper stud can create a layered appearance. Keeping the same metal helps the two pieces still look connected.
Minimalist Double Nostril
If I wanted something subtle, I would choose two very small flat-back studs.
This works especially well if I already have other facial jewelry and do not want every piece competing for attention.
Double Nostril With a High Nostril
A standard nostril and high nostril on the same side create a more detailed arrangement.
I would plan this around the jewelry I want to wear later because high nostril placement can affect the available space above the standard nostril.
Double Nostril With a Septum
A double nostril setup combined with a septum is no longer just two nose piercings. It becomes a three-piercing arrangement.
Still, the combination is worth considering because a septum ring can add a centered element while the nostril jewelry adds detail on the sides.
Double Nostril With a Nose Chain
A nose chain can connect or visually link healed piercings.
I would treat this as a later styling option rather than something to plan for during the early healing stage. The chain should not pull on fresh jewelry.
Same-Side vs Opposite-Side Nose Piercings
I would compare these two setups based on more than appearance.
| Feature | Same-side double | Opposite-side double |
| Overall look | Layered and asymmetrical | Balanced and symmetrical |
| Jewelry | Studs, hoops, or mixed | Matching or mixed |
| Sleeping | One side can remain free | Both sides may need protection |
| Styling | More concentrated | More evenly spread |
| Placement | Spacing is very important | Visual balance is important |
| Best for | Stacked looks | Symmetrical looks |
If I wanted a more alternative or layered appearance, I would lean toward the same-side option.
If I wanted a clean and balanced look, I would choose one nostril on each side.
Can You Get Two Nose Piercings at Once?
Yes, two nose piercings can be done during the same appointment, but whether that is a good choice depends on the planned placements, your anatomy, your existing piercings, and the piercer’s assessment.
Some people choose to get both nostrils pierced in one session. Others prefer to let the first nostril heal before adding the second.
Getting both at once can make it easier to plan the final arrangement, especially when I want one piercing on each side. The downside is that I have two fresh piercings to care for at the same time.
I would think about my sleeping habits, existing healing piercings, daily routine, and ability to follow aftercare before deciding.
Two Nose Piercings at Once vs Separately
Getting Both at Once
Getting both in one appointment can be convenient.
I would have both placements planned together, which can help with symmetry when I want one piercing on each side.
The downside is that both piercings are healing at the same time. If both sides are fresh, sleeping can become less comfortable.
Getting Them Separately
Doing one piercing first gives me time to see how it heals before adding the second.
This can be useful if I am unsure about placement or if I want to make daily care easier.
It can also give me more flexibility if I sleep on one particular side.
For same-side piercings, I would be especially careful about adding a second piercing before the first one has settled. Multiple fresh piercings close together can make irritation and jewelry placement harder to manage.
How Painful Are Two Nose Piercings?
Pain is different for everyone, so I would not rely too heavily on a fixed pain score.
A nostril piercing usually causes a brief sharp sensation, watering eyes, and some tenderness afterward. Getting two piercings means experiencing that process twice, but it does not mean the pain will automatically be twice as strong.
The second piercing can also feel different because the area has already been worked on during the appointment.
For me, I would think more about the full experience than a number on a pain scale. The short piercing itself is only one part of the process. The healing period and daily care matter just as much.
How Long Do Two Nose Piercings Take to Heal?
Two nostril piercings can take several months to fully heal, and one may settle sooner than the other.
Healing can be affected by:
- Placement
- Jewelry fit
- Snagging
- Pressure
- Irritation
- Aftercare
- Individual healing
- Whether the piercing is repeatedly disturbed
I would not treat one number as a deadline. A piercing can look fine on the outside before the inside has fully healed.
Can One of Two Nose Piercings Heal Faster Than the Other?
Yes. Each piercing heals independently, so one can settle faster than the other.
This can happen even when both piercings were done during the same appointment. One side may experience more pressure from sleeping, more movement, or more accidental contact.
I would not assume the slower-healing piercing is automatically a problem. I would look at whether it is gradually improving and whether there are signs of ongoing irritation.
If one piercing stays painful, increasingly swollen, unusually warm, or otherwise concerning, I would have it checked rather than comparing its progress with the other side.
What Is It Like to Sleep With Two Nose Piercings?
Sleeping can be one of the most annoying parts of having two fresh nostril piercings.
With a same-side double, I can usually leave the opposite side free.
With one piercing on each side, both sides may be sensitive at the same time. Sleeping directly against either side can put pressure on the jewelry and create irritation.
I would try to sleep on my back during the early healing period if possible. I would also keep pillowcases clean and avoid anything that repeatedly catches on the jewelry.
How to Blow Your Nose With Two Fresh Piercings
This is one small part of healing that can become surprisingly inconvenient.
I would be gentle when blowing my nose and avoid pulling the tissue hard against the jewelry.
The main goal is to prevent unnecessary movement, pressure, and snagging.
I would also avoid picking dried crust from around the jewelry. If material has dried around the piercing, I would let appropriate cleaning soften it rather than forcing it away.
Two Nose Piercing Spacing and Placement

Spacing is one of the biggest decisions with a double nostril.
If two piercings are too close, the jewelry can look crowded. If they are too far apart, the pair may lose the stacked look I wanted.
I would never choose a universal measurement from a website and assume it will work for my nose. The shape of the nostril, jewelry size, desired final look, and placement all affect the correct distance.
Your Nose Anatomy Matters
I would let the piercer assess my actual nose rather than choosing a placement from a picture.
Things that can affect the final placement include:
- Natural nostril shape
- Nostril crease
- Tissue thickness
- Natural facial asymmetry
- Existing piercings
- Jewelry size
- Desired final jewelry
- Space needed between pieces
Two sides of the same nose may not have identical anatomy. For bilateral nostril piercings, the goal should be visual balance rather than forcing identical measurements.
Plan the Final Jewelry Before Piercing
This is one of the biggest things I would discuss before getting the second piercing.
If I want:
- Two studs
- A stud and hoop
- Two hoops
- Different-size studs
- A standard nostril and high nostril
I would tell the piercer before the placement is marked.
The final jewelry can affect the space needed between the piercings.
How to Choose Jewelry for Two Nose Piercings

For a fresh nostril piercing, a properly fitted flat-back labret is one common jewelry choice. Once the piercing is healed, other styles such as hoops can be considered.
I would look at these factors before choosing jewelry:
Jewelry Size
The jewelry should fit the piercing without creating unnecessary pressure.
Jewelry Material
I would look for quality body jewelry made from materials suitable for fresh piercings, such as implant-grade titanium or appropriate solid gold.
Jewelry Shape
Flat-back studs work well for a clean look, while hoops can add more movement after healing.
Jewelry Combination
The easiest combinations to style are:
- Matching studs
- Matching hoops
- Stud + hoop
- Different-size studs
- Same metal with different designs
What Gauge Is Used for Double Nostril Jewelry?
Nostril jewelry is commonly available in gauges such as 18G and 20G, but I would not choose a gauge simply because it is popular.
The appropriate gauge can depend on the piercing, anatomy, jewelry style, and the piercer’s approach.
I would let the piercer select the initial jewelry based on the actual piercing rather than buying jewelry first and trying to make the piercing fit it.
When Should You Downsize Two Nose Piercings?
Initial jewelry may have extra length to allow room for swelling. Once that swelling settles, the jewelry may become longer than necessary.
That is where downsizing can come in.
If the jewelry is constantly moving, catching on things, or sitting too far away from the nose after swelling has gone down, I would have a professional assess the fit.
I would not downsize simply because the piercing looks better after a few weeks. The inside may still be healing, and changing jewelry too early can cause unnecessary irritation.
A professional piercer can check whether the piercing is ready and select an appropriate post length.
Best Jewelry Combinations for Double Nostril Piercings
If I wanted a clean setup, I would choose two matching flat-back studs.
For a little more contrast, I would choose a small stud and a hoop.
For a stronger look, two small hoops can work well once the piercings are healed.
I also like the idea of keeping the metal consistent while changing the shape or stone. This gives the two pieces some difference without making them look unrelated.
Can You Put Hoops in Fresh Double Nostril Piercings?
I would not treat hoops as my first choice for fresh double nostril piercings unless the piercer specifically recommends them for the placement.
Hoops move more freely than studs and can rotate or catch on things. That extra movement can make a fresh piercing harder to settle.
Once the piercings have healed sufficiently, I can look at hoop diameter, thickness, and fit.
If I know I eventually want hoops, I would tell the piercer before the placement is made. The future jewelry can affect how the piercings should be positioned.
Two Nose Piercing Aftercare

I would treat both piercings as fresh wounds and keep the routine simple.
Clean Them Gently
Use an appropriate sterile saline solution as part of a simple cleaning routine.
Keep Your Hands Off
I would avoid touching or twisting the jewelry unless there is a specific reason to do so.
Avoid Unnecessary Movement
Constant movement can irritate healing tissue.
Be Careful With Makeup
Makeup, skincare products, and other cosmetics can irritate a fresh piercing if they get directly into the area.
Protect the Jewelry
I would watch for towels, clothing, masks, glasses, and other items that could catch the jewelry.
Do Not Change Jewelry Too Early
A piercing can look healed on the outside while the inside is still healing. I would have a professional check the piercing before making an early jewelry change.
Two Nose Piercing Problems and Risks
Having two fresh piercings means I have two healing sites to care for.
Swelling
Some swelling can happen after a new piercing.
If swelling becomes severe, keeps getting worse, or is accompanied by other concerning symptoms, I would get professional advice rather than trying to treat it myself.
Crusting
Small amounts of dried fluid can occur during healing.
I would avoid picking at it because pulling on the jewelry can irritate the piercing.
Irritation Bumps
A bump around a nose piercing can develop after repeated pressure, snagging, movement, or other irritation.
This is one reason I would pay close attention to jewelry fit and daily habits.
Infection
I would not assume every red or swollen piercing is infected.
Increasing pain, spreading redness, significant warmth, pus-like discharge, fever, or feeling unwell would be reasons to seek medical advice.
Migration
Migration happens when a piercing gradually moves from its original position.
If I noticed the jewelry becoming increasingly shallow or the skin between the entry and exit points becoming thinner, I would have a professional piercer assess it.
Crooked or Uneven Placement
A double nose piercing can look uneven if the placement was not planned carefully.
This is especially noticeable with one piercing on each side.
I would ask the piercer to mark both sides and let me check the proposed placement before anything is pierced.
Why Do My Two Nose Piercings Look Uneven?
There are several reasons two nostril piercings may appear uneven, especially during early healing.
The nose itself may have natural asymmetry. One side may also swell more than the other, making the jewelry temporarily look higher or lower.
Jewelry size and fit can also change how the placement looks.
I would avoid judging the final appearance while both piercings are swollen. If the placement still appears significantly uneven after healing and settling, I would discuss it with an experienced piercer.
Adding a Second Nose Piercing to an Existing One
If I already have one nostril piercing, adding another gives me more styling options.
Before adding the second one, I would look at the current jewelry and decide what I want the finished setup to look like.
For example, if my current nostril has a hoop, I might want a small stud above it. If I want two hoops later, I would tell the piercer that before deciding on the second location.
I would also make sure the existing piercing is sufficiently settled before adding more work around the same area. A professional piercer can assess the current piercing and help decide whether the new placement is appropriate.
How Much Do Two Nose Piercings Cost?
The price of two nose piercings can vary a lot depending on the studio, location, piercer, jewelry, and whether the studio charges separately for each piercing.
I would also check whether the quoted price includes the initial jewelry.
A studio offering a very low price may not be the best choice if it cuts corners on jewelry quality, sterilization, or professional service. I would compare the complete service rather than looking only at the piercing fee.
How to Choose a Piercer for Two Nose Piercings
For me, choosing the piercer would be just as important as choosing the jewelry.
Before booking, I would look for someone who:
- Assesses my anatomy before piercing
- Marks the proposed placement
- Lets me check the markings
- Uses appropriate sterile equipment
- Offers suitable body jewelry
- Explains aftercare
- Can discuss future jewelry choices
- Has experience with the type of placement I want
I would also show the piercer the jewelry style I eventually want. A good placement should make sense for both the fresh piercing and the finished look.
How Two Nose Piercings Change the Overall Look

Two nose piercings can change the visual balance of the face without needing large jewelry.
Same-side piercings draw more attention to one side of the nose.
Opposite-side nostril piercings spread the visual weight across both sides.
A small septum ring adds a centered element.
A high nostril creates more vertical detail.
Jewelry size also makes a difference. Two tiny studs can look very subtle, while two hoops create a much stronger appearance.
I would think about the whole facial jewelry setup rather than choosing the second piercing by itself.
Can You Connect Two Nose Piercings With a Chain?

Yes, a nose chain can be used to connect or visually link two healed piercings.
I would consider this a styling choice for healed piercings rather than something I would put on fresh ones.
The chain should not pull, drag, or create constant pressure on the jewelry. If the chain catches frequently, I would remove it and let the piercings settle.
I also like the idea of using a chain only occasionally. That lets me switch between a simple double nostril setup and a more decorative look.
How I Would Choose Between Same-Side and Opposite-Side Piercings
If I wanted a layered and slightly asymmetrical look, I would choose two nose piercings on the same side.
I would probably start with two small studs or a stud and hoop. I like that I can keep one side of the nose completely clear.
If I wanted symmetry, I would choose one nostril piercing on each side.
I would probably use matching studs first because they make the balance easy to see. Once healed, I could experiment with hoops or different jewelry.
If I wanted a more detailed setup, I would consider a standard nostril with a high nostril.
If I already had a septum piercing, I would think about how the second nostril piercing fits with that jewelry rather than treating each piercing as a separate decision.
Are Two Nose Piercings Safe?
Two nose piercings can heal well when they are placed appropriately and cared for properly, but every piercing carries some risk of irritation, infection, scarring, migration, or other problems.
The quality of the piercing studio, sterile technique, appropriate jewelry, placement, and aftercare all matter.
I would choose an experienced professional who can assess my anatomy, use properly sterilized equipment, and help me select suitable jewelry.
I would also tell the piercer about any existing nose piercings before getting another one.
What Do Two Nose Piercings Mean?
There is no single meaning attached to having two nose piercings.
For me, the choice can simply be about personal style.
Some people like symmetry. Others prefer an asymmetrical or alternative appearance. Some want to build a larger facial jewelry setup over time.
I would not attach a fixed meaning to having two piercings on the left side, right side, or both sides. The meaning can be personal.
Final Thoughts
Two nose piercings give me much more room to play with placement and jewelry than a single nostril piercing.
If I wanted a simple look, I would choose two small studs. If I wanted something more layered, I would consider a same-side double with a stud and hoop. For symmetry, one nostril piercing on each side would be my choice.
The biggest lesson for me is to plan the final look before getting the second piercing. Jewelry size, hoop diameter, spacing, existing piercings, natural nose shape, and anatomy can all affect the result.
I would rather spend a little more time planning the placement than rush into a second piercing and later find that the jewelry does not sit the way I wanted.
A well-planned double nostril setup can stay simple, balanced, and easy to style as it heals.
Frequently Asked Questions
What are two nose piercings called?
Two nose piercings are often called a double nose piercing. If both piercings are in the nostrils, double nostril piercing is the more specific term.
Can I get two nose piercings on the same side?
Yes, two nostril piercings can be placed on the same side. The exact position depends on your anatomy and the jewelry you plan to wear.
Can I get two nose piercings on both sides?
Yes. One nostril piercing on each side creates a symmetrical double nostril setup.
Is a nostril and septum considered two nose piercings?
Some people use two nose piercings as a broad term that includes a nostril and septum combination. A double nostril piercing specifically means two nostril piercings.
Is it better to get two nose piercings at once?
There is no universal answer. Getting both at once can make placement planning easier, while doing them separately may make healing and daily care easier for some people.
Can I wear two nose rings?
Yes, once the piercings have healed enough for hoop jewelry. The size and shape of the hoops should suit the placement and available space.
Can I wear a stud and hoop together?
Yes. A stud and hoop combination is a popular way to style a double nostril piercing, especially when both are on the same side.
How long do two nose piercings take to heal?
Nostril piercings can take several months to fully heal. The exact time varies between people and can be affected by jewelry, placement, irritation, and aftercare.
Is a double nostril piercing more painful than one nostril piercing?
You are getting two piercings instead of one, so the overall appointment involves two piercing sensations. The amount of pain varies from person to person, so I would not rely on a fixed pain score.
Can I sleep on my side with two nose piercings?
You may find it easier to sleep on the side away from a same-side double piercing. If you have one fresh piercing on each nostril, both sides may be sensitive, so back sleeping can be easier during the early healing period.
How far apart should two nose piercings be?
There is no universal spacing that fits every nose. The piercer should consider your anatomy, jewelry size, placement, and long-term styling plan before marking the second piercing.
Can I get two nose piercings if I already have a septum?
A septum piercing does not automatically prevent you from getting nostril piercings. The piercer should assess the existing jewelry, placement, and overall anatomy before adding another piercing.
Can one of my two nose piercings heal faster than the other?
Yes. Each piercing heals independently. One side may settle faster because it experiences less pressure, movement, or accidental contact.
Why do my two nose piercings look uneven?
Natural facial asymmetry, swelling, jewelry size, and placement can all affect how two piercings look. I would wait for swelling to settle before judging the final result.
Can I put hoops in fresh double nostril piercings?
I would generally wait until the piercings are sufficiently healed before switching to hoops. A professional piercer can check the healing and jewelry fit before recommending a change.
Can I connect two nose piercings with a chain?
Yes, a chain can be used with healed piercings. I would make sure it does not pull on the jewelry or create repeated pressure.
How much do two nose piercings cost?
The cost varies by studio, location, piercer, jewelry, and whether each piercing is charged separately. I would ask for the complete price, including initial jewelry, before booking.
When should I downsize my nose piercing jewelry?
Downsizing may be appropriate after the initial swelling has settled, but the timing depends on the piercing. I would have a professional check the jewelry fit rather than changing it based only on appearance.
