Plastic surgery; its principles and practice . ss of the skin over the injected of the skin over the injected diftusion of the injected mass. Hyperplasia of the connective tissue following the organizationof the injected matter. 16 1718 19 20 46 PLASTIC SURGERY 21. A yellow appearance and thickening of the skin after organiza-tion of the injected mass. 22. The breaking down of tissue and a resulting abscess due to thepressure of the injected mass upon the adjacent tissue after the injectionhas become organized. Some authors say that the injected paraffin is encapsul
Plastic surgery; its principles and practice . ss of the skin over the injected of the skin over the injected diftusion of the injected mass. Hyperplasia of the connective tissue following the organizationof the injected matter. 16 1718 19 20 46 PLASTIC SURGERY 21. A yellow appearance and thickening of the skin after organiza-tion of the injected mass. 22. The breaking down of tissue and a resulting abscess due to thepressure of the injected mass upon the adjacent tissue after the injectionhas become organized. Some authors say that the injected paraffin is encapsulatedlike any other foreign body. Others claim that the mass is first sur-rounded by a connective tissue wall and that fibrous bands are thenformed which penetrate the mass. Eventually the paraffin is said tobe absorbed and in its place is left a connective tissue mass which ishard and resistant to the touch. In my operative work on these cases I have found that both condi-tions are present even after several years have elapsed. The connective. Fig. 64.— the thickening of the tissues of the nose, cheeks and lips, and the obUterationof all the natural lines. The mucous membrane was also involved in this case, and thepatient was unable to masticate without biting the projecting folds. Paraffin had beeninjected two years previously, several times for the purpose of eradicating wrinkles. Theskin was purplish-red and very dense and hard. tissue mass is hard enough to blunt the edge of a scalpel, and in cuttinginto this tissue I often find that flakes of paraffin are floated up in theblood. These tissues are difficult to handle surgically. There may be a large number of patients who have been perma-nently benefited by the injection of paraffin, but a glance at the Hstof untoward results is enough to discourage the most daring surgeonwho has any regard for the safety of his patient. The terrible uncor-rectable deformities produced by the development of paraffinomamont
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