In 2009, a 57-year-old man was referred to our maxillo facial surgery department for the appearance of a reddish-purplish swelling on his right helix. The lesion was more than 1 cm in length and did not show changes for 3 months. He was otherwise healthy, without any predisposing factors. The patient denied smoking, alcohol misuse and intravenous drug use. He had no family history of similar lesions or Kaposi's sarcoma . The lesion was completely excised and the surgical defect reconstructed with a local flap. In 2011 the same patient returned to our attention because of the appearance of a new lesion, similar to the first one on the other auricle. The lesion was completely removed. The same situation recurred in September 2012, when the patient presented a new little reddish-purplish swelling of 3 mm on the left helix. The lesion was excised. The patient has not reported further lesion at present.