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The inverse vertical labret, (sometimes called and inverted vertical labret or Ashley piercing) is done through the centre of the bottom lip. The most common type of jewellery for this piercing is the flat backed stud (labret stud), this is because the flat back is comfortable against the inside of the mouth. Titanium, Black PVD and Steel studs are popular but they can cause wear to the gums over a long period of time. Bio-plast labret studs are flexible and soft and can be used instead of titanium or steel as they cause less gum wear. There is a large variety of screw-fit add-on's to use with the studs such as gem balls, spikes and cones which can enhance the look of the piercings. The inverse vertical labret piercing can be 1.2mm or 1.6mm gauge. Our body jewellery sizing guide has more detailed advice for this and other piercings.