Should I ask the surgeon to also remove my Darwin's tubercle? (Photos)

Question

I will have otoplasty with conchal resection to pin back my ears. I'm unsure if I should remove the Darwin's tubercle from one of my ears. I will be getting otoplasty with general anesthesia and wondering if I should also remove the excess cartilage and skin of the tubercle. The reason why I am unsure is because after the ear is set back it might not be noticeable anymore. He says to leave it. Would it leave a scar and make the recovery even harder? Would I regret not having it removed? Can you please take a look and suggest what might be best for me? Thank you

Ronald J. Edelson, MD · Answer

Yours is not that pointy or even noticeable so I would leave it alone.  Removing the tubercle is simple but difficult to get exactly the right contour and that could look weird so I advise against it.

Nima Shemirani, MD · Answer

Dear thestorm,This is a personal decision.  You can make the incision inside the helix and lift up the skin to avoid an unsightly scar.  It is not distracting, just a matter of personal preference.Best,Dr. Nima
Member, American Academy of Facial Plastic and Reconstructive Surgery
Board Certified Facial Plastic Surgeon
Board Certified in Head and Neck Surgery

Waldemar Merck, MD · Answer

The removal of the Darwin’s Tubercle is not necessary unless it disturbs you. With a skilful resection technique, there will be no visible scar after the removal of the tubercle. Neither a conchal resection nor full anaesthesia is necessary if the otoplasty is carried out with the Merck Stitch Method and the patient is older than 11 years.

Curtis Wong, MD · Answer

at the same time as  your otoplasty.  Its not terribly noticeable and I would agree with your surgeon to leave it for now and then decide later.  It can easily be done under local in the office if you did want it reduced.  Very few people would notice this tubercle you appreciate and again, most would not even notice that.  My suggestion is to leave it alone.

Should I ask the surgeon to also remove my Darwin's tubercle? (Photos)

Answers (4)

Answer: Only you can decide if you want the bump on your helical rim addressed

Answer: Only you can decide if you want the bump on your helical rim addressed

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Should I ask the surgeon to also remove my Darwin's tubercle? (Photos)

Answers (4)

Answer: Only you can decide if you want the bump on your helical rim addressed

Answer: Only you can decide if you want the bump on your helical rim addressed

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Recommended reading

Everything you need to know about Ear Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.