One-stage Reconstruction after Partial Removal of Paraffinoma in Face with Dermofat Graft and Face Lift

Lee, Yoon Ho; Lee, Sang Woo

Abstract

Paraffin injection for aesthetic purpose by unauthorized people has many problems. One of the most common complication is the paraffinoma. Because of problems after paraffinoma removal, such as flap necrosis and facial nerve injury, the treatment of the choice is only partial removal. But there can be some depression and sagging of the cheek left after paraffinoma removal. So we have treated 8 patients who have suffered from paraffinoma in forehead and cheek by partial removal of paraffinoma and correction of the depression and the sagging of the cheek with dermofat graft and face lift. Through the extended preauricular incision, after skin flap elevation we removed paraffinoma as much as possible. Dermofat graft from the gluteal area was performed at paraffinoma removed site. And we prevented the sagging of the cheek skin by the suspension pull through suture. The follow up period was from 2 to 26 months(mean, 12 months). All the patients were satisfied with the reduction of the paraffinoma and they did not complain any deformity. One patient had flap necrosis on nasal dorsum and postauricular area, but they healed with dressing only in two weeks. We concluded that one-stage reconstruction with dermofat graft and face lift after partial removal of paraffinoma is reliable method in treating of paraffinoma in forehead and cheek.