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Oleogranulomatous Mastitis: A Topical Subject.

Cherif Akladios1, Vaneesa Kadoch1, Frederic Bodin1

  • 1Strasbourg University Hospital: Pole of Obstetrics and Gynecology, Hautepierre Hospital, Strasbourg, France; Department of Plastic and Reconstructive Surgery, Civil Hospital, Strasbourg, France; and Breast Diseases Center, Pole of Obstetrics and Gynecology, Hautepierre Hospital, Strasbourg, France.

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Summary

Petrolatum injections for cosmetic breast volumization can lead to severe complications like oleogranulomatous mastitis. This dangerous practice, causing painful, dense breasts and oily cysts, should be strictly forbidden due to significant health risks.

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Area of Science:

  • Plastic Surgery
  • Dermatology
  • Radiology

Background:

  • Paraffin and petrolatum have historically been used as cosmetic volumizing agents.
  • Despite known complications, these substances are still used in some regions for aesthetic purposes.

Observation:

  • A 39-year-old patient developed bilateral oleogranulomatous mastitis after petrolatum injection for cosmetic reasons.
  • Clinical presentation included dense, erythematous, and painful breasts.
  • Radiological examination revealed diffuse oily cysts.

Findings:

  • The patient underwent bilateral mastectomy with immediate reconstruction following initial abdominal expansion.
  • Literature review highlights clinical and radiological features of petrolatum-induced mastitis.
  • The procedure carries numerous risks and is associated with severe complications.

Implications:

  • This case underscores the critical dangers of non-medical grade substance injections for cosmetic enhancement.
  • Highlights the need for global prohibition of such unsafe cosmetic procedures.
  • Emphasizes the importance of patient education regarding the risks of illicit cosmetic treatments.