Needles can pierce the skin and cause bleeding and bruising. The hole can introduce infection, and if the needle is not sterile it can introduce it deep under the skin. So needle play is dangerous but some slaves and Mistresses like it often as part of medical play.
Of course if the slave is to be pierced then needles will need to be used, but here the piercing should be done by a professional with proper sterile kit and skin cleaning and with dressings and use of antiseptic cream afterwards until everything is healed
Needle use is scary and requires total trust that the Mistress knows Her stuff and has the right needles, new, sterile, and one use only. But then everything that a Mistress does to her slave requires that he trust Her and that She knows what She is doing. Needles frighten me but some like them.
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