ABSTRACT
We report a series of 45 patients visiting our clinic with distorted contour of the
nose after having their noses augmented with injectable substances. The most common
clinical presentation was a palpable mass on the dorsum of the nose, erythema with
or without telangiectasia on the overlying skin, and nodularity of the nose. The onset
of symptoms varied from 1 to 16 years after injection. They were treated by surgical
excision, but this was always followed by a saddle-nose deformity. To correct this
defect, we propose a new technique of adipose tissue transplantation that yields satisfactory
results. Pathological reports of the excised mass showed a foreign body granuloma
known as a sclerosing lipogranuloma (paraffinoma or siliconoma).
KEYWORDS
Paraffinoma - siliconoma - sclerosing lipogranuloma - free fat graft