Scalpelling is a body art procedure similar to body piercing for the creation of decorative perforations through the skin and other body tissue, and is most commonly used as a replacement for or enhancement of ear piercing. Whereas piercing is typically performed with a hollow piercing needle or an ear piercing instrument, scalpelling is performed by using a scalpel to cut a slit into the skin. Unlike dermal punching, no flesh is removed. The technique can immediately produce holes with a larger diameter than can be achieved by piercing. This is a more rapid means of accommodating larger gauge jewellery than stretching, a technique whereby piercings are enlarged by inserting gradually larger jewellery. Scalpelling is performed to quickly achieve a large-gauge piercing, when scar tissue is preventing further stretching, if tissue has thinned to the point where further stretching could cause it to break, or to combine two closely placed piercings into one hole.

Scalpelling is a body art procedure similar to body piercing for the creation of decorative perforations through the skin and other body tissue, and is most commonly used as a replacement for or enhancement of ear piercing. Whereas piercing is typically performed with a hollow piercing needle or an ear piercing instrument, scalpelling is performed by using a scalpel to cut a slit into the skin. Unlike dermal punching, no flesh is removed. The technique can immediately produce holes with a larger diameter than can be achieved by piercing. This is a more rapid means of accommodating larger gauge jewellery than stretching, a technique whereby piercings are enlarged by inserting gradually larger jewellery. Scalpelling is performed to quickly achieve a large-gauge piercing, when scar tissue is preventing further stretching, if tissue has thinned to the point where further stretching could cause it to break, or to combine two closely placed piercings into one hole.