I will somewhat disagree with what you say.
About stretching, my own self-experiences of punch and stretch, wherever it was (lip, nostrils, earlobes) were always really very good.
With dermal punches, healing is faster than with any other process. Plus another advantage is that the hole created by the punch is round, and therefore the pressure put by stretching jewerly will be equal everywhere. Therefore, stretching is easy, fast and comfortable.
For instance, I went from zero to 24 mm in nostrils in 5 months. Same in upper holes in earlobes.
Eventually, on the long run holes created by dermal punch never give discomfort, never gave me a blow out (again the advantage of having perfectly round initial holes)... so no. Even for ears, dermal punch works fucking good.
So when people ask me to stretch their ears, I always propose them DP, explaining them all pluses and minuses of both methods; and until now, all people who have started stretching with DP have been very surprised by how well it works.
Unfortunately, in the profession everybody believes that the skin you remove from lobes will be a limitation for going bigger. Which is just false.
Only disadvantage of DP is that it'll leave a hole; but for people who know what they want, it's no big deal.
Last but not least, almost any piercer I've been talking to has the same opinion about DP. Just good for cartilage (and sometimes microdermals), but useless for the rest. But actually, those who say it's not a worthy method haven't tried on themselves (or have significant feedback on clientele). But those who have tested all say it's simply better.
Last detail, scalpelling works also good, but I believe that the fact it all starts with a flat shaped hole necessarily creates two points where the stretching will have a tendancy to cut when going to bigger size, which won't be the case with DP.
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