Can the tops be unscrewed and changed?

Yes every one dermal piercing top can be unscrew ,It is an internal thread design

Would a dermal ball fit a nipple peircing if the thicknesses is the same?

As long as they're both 14 gauge they should. I order these because they are interchangeable

Can I shower with dermal tops on?

I've had mine for over two week and I don't take it out to shower. It doesn't rust or turn green.

Can the tops be unscrewed and changed?

Yes every one dermal piercing top can be unscrew ,It is an internal thread design

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ZS14/15PCS Cubic Zirconia Dermal Anchor Tops 2mm 3mm 4mm, 14G Surgical Steel Internally Threaded Dermal Anchor Base Microdermals Piercing for Women Men

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