A lot of women have studs in one nostril in my area, but, I very seldom see any with a ring through both. Eyebrow rings/studs are pretty common here too. A number of the female CNAs at my job have "extreme" looks (heavily tattooed and/or pierced, unusual hair cuts/dye-jobs, etc.), so, I'm just accustomed to seeing women like that all the time. For example, one woman has half her head shaved, and tattooed with a skull, the other half normal long hair. Many of the elderly residents are pretty conservative and despise seeing young women looking like that--its probably like being in an episode of The Twilight Zone for them. CNA is a tough position to keep filled though, so, it's kind of a "they'll take you when nobody else will" kind of job, appearance-wise.