Figure 1: (A) Photograph of the patient’s bulky lips at the time of first attendance. (B) Deformity of the lips during lip movements caused by paraffin deposits. (C) Dystrophic areas of the integument are visible at the site of paraffin deposits. (D) Incision line for debulking of the augmented lips. (E) Whitish and firm tissues constitute the prominent lip masses adhering to the local connective tissues. (F) Sample of excised lip tissue. (D) Post-operative photographs demonstrate moderate reduction in lip volume.