I know top ear piercings have had a bit of a renaissance of late. I had mine done when I was at school, shockingly that means I have had it for 8 years now.  Which has given me quite a lot of time to work out which earrings work best. Normally I like to wear a small diamond stud (like here), I also have a couple of antique studs that look like insects which I think is a really cute idea.  The other option I always wanted was a diamond hoop, but I could never find one small enough to pretty.