Self-injection: Inescapable DIY and real danger? A case study and literature review

Area of Science:

• Aesthetic Medicine
• Public Health
• Dermatology

Background:

• The aesthetic medicine market is rapidly expanding, with increasing online sales of injectable products.
• Lack of stringent regulation for internet-sold aesthetic products facilitates patient self-administration.
• Health authorities in France have banned breast filler use since 2011 due to safety concerns.

Observation:

• A 45-year-old woman self-injected hyaluronic acid into her breasts, sourced online.
• The patient subsequently developed a bilateral breast infection.
• The infection was successfully treated with antibiotic therapy.

Findings:

• Self-injection of unregulated, internet-purchased hyaluronic acid fillers can result in severe infections.
• Despite existing bans, the accessibility of such products online poses a significant risk to patient safety.
• Management of complications from self-administered aesthetic injections requires prompt medical intervention.

Implications:

• This case underscores the critical public health issue posed by the unregulated market for injectable aesthetic products.
• There is an urgent need for a robust legal framework governing the sale and use of cosmetic fillers in France.
• Enhanced regulatory control is essential to prevent adverse events and protect patients in the booming aesthetic medicine industry.