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In 1960∼1970's, paraffin injection was popularized illegally as a method of augmentation rhinoplasty. After then, silicone implant was developed and had used which had the advantages of less foreign body reaction, easy carving and removal. The paraffin was injected to augment the nose can make complications like severe tissue reaction, palpable lump, additional disfigurement, ulcer and psychologic problems after years of latent period. There were several surgical methods for removal of paraffin that were injected illegally for augmentation rhinoplasty in the past, the results were inadequate for complete removal.
This investigation involved a series of 18 patients who underwent paraffin injection as a method of augmentation rhinoplasty between March, 1995 to January, 1997. The injected paraffin was removed by using rasping instead of surgical remove, and dermofat graft was applied.
The following results were obtained as follows:
1) large amount of paraffin can be removed through small incison
2) prevent to skin irregularity
3) decrease chance of perforation to skin
4) prevent to external scar
5) simple and easy technique
6) short operation time
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