The best replacement for dermal is epidermal melasma.

The best alternatives to dermal are rated as following:
★★★★★  epidermal melasma
★★★★  epidermal
★★★  microdermal
★★★  surface piercing
★★  surface hip piercing
★★  skin diver
★  piercing
  surface piercings
  surface nape piercing
  diver
  skin divers
  cutaneous
  dermal
  cheek piercing
  surface bar

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Google Trends

Scale is based on the average worldwide traffic of dermal in all years. Click on graph for more.
dermal
epidermal melasma
epidermal