I was never fond of having holes in your body that you could fit a quarter inside of. It looks really tacky to me, and quite frankly, trashy. Piercings can usually grow back in, but not when they have the same circumference as the base of your middle finger. Then they're permanent damage, and not exactly appealing to most employers.
Generally I believe it reflects on a child who probably had limited parental direction or guidance. Kids without limits "express" themselves to get reactions. They aren't smart enough yet to understand actions have consequences and no one has had the strength to explain that to them yet. That lack of direction will no doubt continue to play out more times than not - in a bad way. Not saying "some" hole punchers don't turn out successful. Jimmy Hendrix was very successful - for a little while.