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Some people find they do, others find they don't. Apparently if you play with it it will make a slightly bigger hole (also playing with piercings can lead to infection by the way). I know a girl who had hers done and took it out and she has no scar whatsoever, and her sister had hers done and she had a huge very noticeable hole. I guess it's really down to the individual, and also what sized bar/stud you have in it.
yes they can
yes