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

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

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

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Great experience from order to delivery. Highly recommended!

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