Use this Surgical Steel 000 Gauge flanged earlet for a 000 gauge ear piercing or you can stretch your 0 or 00 gauge piercing to a 000 gauge using a taper. (see below) 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.