Stretching a conch piercing can be a rewarding process for those looking to wear larger gauge jewelry, such as plugs or tunnels, in this central cartilage area of the ear. However, it requires patience, proper technique, and attention to aftercare to avoid complications such as tearing, infections, or permanent damage. Here’s what you need to know before attempting to stretch your conch piercing.

Understanding the Basics

The conch piercing is located in the middle of the ear’s cartilage and can be either “inner” (closer to the ear canal) or “outer” (near the edge of the ear). Unlike lobe piercings, cartilage stretches much more slowly and with more risk, so it's crucial to approach the process carefully. Most conch piercings are initially done at 16g or 14g, though some piercers may start at 12g. Horseshoes, tunnels and plugs are great jewelry options. Steel and titanium are safe metals for stretching.

Step 1: Wait Until It’s Fully Healed

Never attempt to stretch a fresh or healing piercing. Stretching an unhealed conch can cause tearing, blowouts, or long-term tissue damage. Healing can take 6 months to a year, and even longer in some cases. Only consider stretching once the piercing has had no discharge, tenderness, or swelling for at least several months.

Step 2: Choose the Right Method

Tapering is the most common method for small gauge increases. This involves using a steel taper — a rod that gradually increases in thickness — to gently insert the next size of jewelry. Lubricate both the taper and the jewelry with a water-based lubricant (like jojoba oil or a piercing-safe lube) and gently push the taper through, followed by the jewelry.

Dead stretching (simply inserting a slightly larger piece of jewelry) may work in some cases if the tissue is soft and relaxed, but it’s riskier with cartilage.

Taping involves wrapping PTFE (Teflon) or bondage tape around your current jewelry to slowly increase its size over time. This method is more commonly used for lobes and is not generally recommended for cartilage.

Step 3: Go Slowly

Never skip sizes. The standard increment between gauges is about 1 mm or less. For example, if your conch is at 14g (1.6mm), stretch to 12g (2mm), not 10g (2.4mm). Wait at least 6–8 weeks between each stretch — longer if you experience any discomfort or resistance.

Step 4: Monitor and Maintain

After stretching, clean the area with a saline solution twice daily. Avoid touching it excessively, and don’t rotate or move the jewelry unnecessarily. Avoid swimming, sleeping on the stretched side, and wearing headphones or tight headwear that may cause pressure.

Signs of trouble include sharp pain, bleeding, swelling, or a foul smell — all indicators you may have stretched too quickly. In such cases, downsize to the previous gauge and allow the area to heal fully before trying again.

Final Thoughts

Stretching a conch piercing is a gradual process that should be guided by your body’s response, not a timeline. When in doubt, consult a professional piercer with experience in cartilage stretching. With patience and proper care, you can safely achieve your desired gauge while maintaining the health and aesthetics of your piercing.