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Thank you for your question. Darwin's tubercle is a congenital ear condition which often presents as a thickening on the helix at the junction of the upper and middle thirds. This is a normal anatomic variant present in about 10% of the population. If the appearance of this condition causes concern, it can be improved with a minor surgical procedure performed under local anesthesia in the office. Following surgery, the ear displays a more smooth contour and the incision site is usually not noticeable.
This is a straightforward procedure and should cost about $1000. Kenneth Hughes, MD Los Angeles, CA just in case you do not get a response from the UK
Removal the Darwinian tubercle is done under local anesthesia and will take approximately half an hour to perform. The cost would be somewhere between 750 and $1000