Inflammatory, immune-mediated adverse reactions related to soft tissue dermal fillers.

Management of paraffinoma of the breast: 10 years' experience

OBJECTIVE. We present the mammographic, sonographic, and MRI features of the early complications of breast augmentation by direct injection of liquid paraffin. We also examined the imaging features in patients with paraffinoma, a later complication of these injections.CONCLUSION. Early complications of breast augmentation by direct injection of liquid paraffin differ in appearance from paraffinoma, which is a late complication of the same procedure. On mammography, early lesions appear as multiple circumscribed, noncalcified masses in the retroglandular and subpectoral regions. Sonography reveals multiple cystic masses within the breast parenchyma, retroglandular region, ipsilateral axilla, and pectoral muscle. MRI shows parenchymal and retroglandular fluid collections, which are hypointense on T1-weighted images and hyperintense on T2-weighted and fat-suppressed T2-weighted images, that do not enhance.

https://www.ajronline.org/doi/pdf/10.2214/AJR.05.0064

Direct injection of paraffin into the breast: mammographic, sonographic, and MRI features of early complications.

PURPOSE Cosmetic injection of paraffin into cervicofacial tissues has been practiced in the past, especially in Asia, resulting in foreign body granuloma (paraffinoma). The purpose of this study was to describe the computed tomography (CT) findings of cervicofacial paraffinomas. MATERIALS AND METHODS CT images of 5 patients (4 women and 1 man; age range, 54-80 years; mean age, 67.6 years), who had received direct paraffin injections into cervicofacial tissues, were reviewed retrospectively. RESULTS The lesions were bilateral and located in the subcutaneous fat layer of the cheek (n = 5), buccal space (n = 2), periorbital area (n = 1), periauricular area (n = 1), neck (n = 1), and nose (n = 1). The predominant CT features were speckled mass formation (n = 3), fat-density nodule (n = 5), high-density nodule (n = 5), nodular calcification (n = 5), and rim calcification (n = 4). CONCLUSION Paraffinomas in the cervicofacial region have specific CT features that are distinct from other soft tissue masses.

W. S. Ho

Papers

Paraffinomas of the breast: Mammographic, ultrasonographic and radiographic appearances with clinical and histopathological correlation

Paraffinomas of the breast: Mammographic, ultrasonographic and radiographic appearances with clinical and histopathological correlation