Piercing of Helix of pinna is a social custom of certain communities in Northern Tamil Nadu. Such a “high helical” piercing is well known to cause Perichondritis of Pinna. Most of the times such a Perichondritis is unilateral.

Here we present a case of Bilateral Perichondritis of pinna, following ear piercing, the first time from India subcontinent. We also highlight some practical points on the management of such cases.