Obed Doha, Krezdorn Nicco, Harik-Chraim Elissa, Freystaetter Christian, Radtke Christine, Vogt Peter M
Department of Plastic, Aesthetic, Hand and Reconstructive Surgery, Hannover Medical School, Hannover, Germany.
Department of Plastic, Aesthetic, Hand and Reconstructive Surgery, Hannover Medical School, Hannover, Germany.
Clin Dermatol. 2022 Sep-Oct;40(5):556-563. doi: 10.1016/j.clindermatol.2022.03.001. Epub 2022 Apr 6.
Liquid body contouring by intramuscular injection of site-enhancing oils (SEOs) for muscle volume enlargement has increasingly become a popular practice in bodybuilding. Its immediate and long-term health consequences remain ambiguous, and postinjection complications are sparsely documented in medical literature. We report a series of patients presenting with postinjection complications upon self-attempted liquid body contouring through injection of SEOs. Ten patients visited our departments for plastic and reconstructive surgery for variable local and systemic complications. All patients gave a history of single or multiple SEO use and presented on average nine years postinjection with variable complications. Most patients experienced painful nodular indurations and swellings in the injected target muscles. Two patients showed signs of infection including erythema, fever, and local inflammatory findings. One patient presented additionally with a severe form of nonparathyroid hypercalcemia. Four patients ultimately underwent surgical treatment. The use of SEOs for liquid body contouring is a dangerous practice and is associated with potentially systemic and life-threatening complications. Surgical treatment may be the only therapeutic option in advanced cases and should be performed timely. Guidelines on diagnostic and therapeutic measures are warranted. Educational measures should be undertaken to raise awareness among athletes and medical professionals.
通过肌肉注射增肌油（SEOs）来进行液体身体塑形以增大肌肉体积，在健美运动中越来越流行。其对健康的即时和长期影响仍不明确，且注射后并发症在医学文献中的记载很少。我们报告了一系列患者，他们在自行尝试通过注射SEOs进行液体身体塑形后出现了注射后并发症。10名患者因各种局部和全身并发症前往我们的整形和重建外科就诊。所有患者都有单次或多次使用SEOs的病史，平均在注射后9年出现各种并发症。大多数患者在注射的目标肌肉中出现疼痛性结节硬结和肿胀。两名患者出现感染迹象，包括红斑、发热和局部炎症表现。一名患者还出现了严重的非甲状旁腺性高钙血症。4名患者最终接受了手术治疗。使用SEOs进行液体身体塑形是一种危险的做法，且与潜在的全身性和危及生命的并发症相关。在晚期病例中，手术治疗可能是唯一的治疗选择，应及时进行。有必要制定诊断和治疗措施的指南。应采取教育措施，提高运动员和医学专业人员对此的认识。
