Use this Surgical Steel 0000 Gauge flanged earlet for a 0000 gauge ear piercing or you can stretch your 00 or 000 gauge piercing to a 0000 gauge using a taper. Surgical Steel earlets come complete with o-ring. Our Earlets are flanged which means they look better and will not fall out. A flanged earlet will not pull through your ear. It stays flush against the lobe of the ear.