Ear Piercing Complications: What to Do About Growths - Dermatology

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When it comes to complications arising from ear piercings, particularly the formation of growths or lumps near the piercing site, there are several factors to consider. The situation you described, where a white growth appears at the site of your ear piercing, is not uncommon and can be attributed to a few potential causes.

Firstly, the growth you are experiencing could be a keloid or hypertrophic scar. Keloids are raised scars that occur when the body produces too much collagen during the healing process. They can be itchy, painful, or simply a cosmetic concern. Hypertrophic scars are similar but tend to remain within the boundaries of the original wound and may improve over time. Both types of scars can develop after any skin injury, including piercings.

Another possibility is that the growth is a sebaceous cyst. These cysts form when the sebaceous glands, which produce oil for the skin, become blocked. They can appear as small, round lumps under the skin and may contain a white, cheesy substance. While they are generally harmless, they can become inflamed or infected, leading to discomfort.

In some cases, the growth could be a result of chronic inflammation due to irritation from jewelry, especially if the jewelry is made from materials that cause allergic reactions or if the piercing has not fully healed. This chronic irritation can lead to the formation of granulation tissue, which is a type of tissue that forms during the healing process and can appear as a lump.

Given that you have experienced this growth for several years without resolution, it is advisable to consult with a healthcare professional, preferably a dermatologist or an ear, nose, and throat (ENT) specialist. They can perform a thorough examination and may recommend a biopsy to determine the exact nature of the growth.
As for treatment options, if the growth is determined to be a keloid or hypertrophic scar, treatments may include corticosteroid injections to reduce inflammation and size, silicone gel sheets to flatten the scar, or in some cases, surgical removal. If it is a sebaceous cyst, it can often be removed surgically, especially if it is causing discomfort or cosmetic concerns.

It is important to avoid attempting to squeeze or pop the growth, as this can lead to infection or further irritation. Keeping the area clean and avoiding any further trauma to the piercing site is crucial. If you decide to have the growth removed, ensure that the procedure is done in a sterile environment by a qualified professional to minimize the risk of complications.

In summary, the growth you are experiencing near your ear piercing could be a keloid, hypertrophic scar, or sebaceous cyst. Consulting with a healthcare professional is the best course of action to determine the nature of the growth and the appropriate treatment. Avoid self-treatment to prevent complications and ensure proper care.