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Facial Plast Surg 2003; 19(4): 363-368
DOI: 10.1055/s-2004-815656
Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Sclerosing Lipogranuloma of the Nose: A New Treatment Using Adipose Tissue Transplantation

Choladhis Sinrachtanant1 , Weerachai Tantinikorn1 , Malee Warnnissorn2 , Paraya Assanasen1
  • 1Department of Otolaryngology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand
  • 2Department of Pathology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand
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Publication History

Publication Date:
22 January 2004 (online)

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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

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