I got my inner conch done 1 month ago yesterday. It was done with a straight barbell, 14g, 5/16" in length. It started showing signs of hypertrophic scarring, or so I believe, about 2 weeks ago. There is a bump in the front on one side, and one in the back on the opposite side of the front bump. They produce quite a large amount of discharge, in a light yellow tint. I've done a couple of chamomile compresses, as well as SSS and a few applications of emu oil, but the lumps seem larger in the morning. I attribute this to rolling over and sleeping on it, but it seems as though there is much less room for the barbell now then when I first got it done, even with the initial swelling. I'm going to keep doing SSS daily and try to chamomile compress more often, but I'm afraid that I may need a new barbell. I'm going to give it another week of solid attention and care before making any sort of decision, and then it would be another week, after ordering a quality internally threaded or threadless barbell, before going to the nearby piercer to have him swap them out. I know this is a lot of trauma on a rather fresh piercing, but I really don't want to lose it, and even if it hinders the fistula healing, I'd rather not have the ball and back halfdome engulfed by scar tissue. I'll see if I can dig up any pictures later. What are your thoughts? What else can I do to help heal this thing?

sounds more like a boil than hypertrophic scaring to me. 

how exactly would I deal with a boil?

 hot compresses seem to be suggested most.  http://wiki.bmezine.com/index.php/Boil

Know, the pictures aren't the norm but extreme versions of boils.  Not all look like that. 

I had huge bumps like that on my conches too.  The light yellow stuff in my case was completely normal lymph.  I had rings.  I had barbells.  They would go down but then come back.  I have since learned that this is just how my cartilage behaves while it is healing.  No matter what jewelry I have or how I got pierced (needle or punch), I can expect bumpy ears until the piercings are fully healed.  As for advice, I would see my piercer and ask his opinion.  You may not even need to buy longer jewelry.  He may provide it for you.  You never know.