A helix piercing involves piercing the outer rim of the ear cartilage, typically on the upper part of the ear. During the procedure, a sterile needle is used to create a hole through the helix cartilage, and then high-quality jewelry such as titanium or surgical stainless steel placed in the piercingA helix ear piercing is the term used for piercings on the outer rim of the ear cartilage. It's typically on the upper part of the ear, but placements may vary from the "forward helix" (closer to the face) or, "mid helix" (the upper part of your ear, away from your face) or anywhere in between. During the procedure, your experienced piercer will use a sterile needle to puncture a hole through your cartilage, afterwards placing a high-quality piece of the jewelry of your choice.