The Gauteng Department of Health has issued a public warning over the growing use of illegal injectable substances marketed for body enhancement and sexual performance after two patients in Ekurhuleni were hospitalised with severe complications, including organ failure.
According to the department, the patients were admitted to a public health facility after allegedly using unregulated injectable products obtained through informal channels. Health officials say the substances were linked to underground cosmetic procedures commonly promoted online as “BBL injections” and sexual enhancement products.
Authorities say the products are not approved for human use and may contain unknown substances capable of causing serious medical complications, infections and potentially life-threatening organ damage.
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Gauteng Health Investigating Dangerous Injectable Products
The Gauteng Department of Health says preliminary investigations suggest the injectable substances are being distributed outside regulated medical environments.
According to the department, some products are reportedly sold:
- Through social media platforms
- Via informal beauty networks
- Directly to consumers
- Alongside syringes and injection equipment
Health officials say certain users are even self-injecting the substances without medical supervision.
The department warned that the composition of many of these injectable products remains unknown.
“The Department reiterates that such products are not approved for human use and their composition remains unknown, posing significant risks to public health and safety,” the statement said.
Cases Linked to Body Enhancement and Sexual Performance Products
Officials say the substances involved were allegedly used for:
- Body enhancement procedures
- Illegal “BBL-style” injections
- Sexual performance enhancement
Brazilian Butt Lift procedures, commonly referred to as BBLs, have grown in popularity globally over recent years through social media and celebrity culture.
However, medical experts say unregulated injectable procedures performed outside licensed facilities carry major health risks.
The department did not disclose the exact substances involved in the Ekurhuleni cases but confirmed that both patients suffered severe complications after injection use.
Organ Failure and Severe Complications Raise Alarm
The latest warning comes after both individuals reportedly experienced serious medical complications requiring hospital treatment.
Health experts say illegal injectable products may cause:
- Organ failure
- Severe infections
- Blood poisoning
- Tissue damage
- Permanent disfigurement
- Respiratory complications
- Internal inflammation
Medical professionals warn that substances injected into the body can spread quickly through the bloodstream if contaminated or improperly administered.
The department also warned residents against believing misinformation about the effects of the products.
Health Officials Warn Against Misleading Social Media Claims
The Gauteng Department of Health expressed concern about misleading information circulating online regarding injectable enhancement products.
According to the department, some sellers and promoters falsely claim that symptoms such as:
- Burning
- Swelling
- Pain
are signs that the products are “working.”
Health officials rejected these claims, warning that such symptoms are often indicators of serious medical complications.
“These symptoms are, in fact, often indicative of serious underlying complications,” the department said.
Medical professionals say social media marketing and informal online advertising continue contributing to the spread of underground cosmetic procedures and enhancement products.
Authorities Working With Law Enforcement
The department says it is now working with regulatory authorities and law enforcement agencies to investigate the source and distribution of the injectable substances.
Officials say the investigation aims to:
- Identify suppliers
- Trace distribution networks
- Prevent additional cases
- Enforce healthcare regulations
Authorities are also attempting to determine how widely the products may already be circulating within Gauteng communities.
The department has urged residents to report unregistered medicines and illegal injectable enhancement products to authorities.
Underground Cosmetic Procedures Continue Growing
Health experts say underground cosmetic procedures have become increasingly visible in South Africa over recent years.
Social media platforms have contributed to growing demand for:
- Body enhancement procedures
- Weight-loss injections
- Skin-lightening injections
- Sexual enhancement products
- DIY cosmetic treatments
Medical professionals warn that many of these products are sold without safety testing, ingredient verification or regulatory approval.
Some procedures are also reportedly performed in private homes, informal beauty spaces and non-medical environments.
Gauteng Residents Increasingly Exposed Through Social Media Trends
Analysts say Gauteng’s large urban population and active social media culture may contribute to increased exposure to underground enhancement trends.
Online beauty culture and influencer-driven cosmetic content continue influencing demand for rapid body transformation procedures and injectable products.
Health experts warn that some residents may underestimate the risks associated with unlicensed cosmetic procedures because of how casually they are marketed online.
The department says only qualified healthcare professionals operating within regulated medical environments should administer injectable treatments.
What This Means for Gauteng Residents
For Gauteng residents, the latest warning highlights growing concerns around unregulated cosmetic procedures and injectable products being sold through informal networks.
Health experts say underground enhancement products may expose users to severe health risks, particularly when substances are unverified or administered outside licensed medical facilities.
The warning also raises broader concerns about the role social media plays in promoting unsafe cosmetic trends and self-administered procedures.
FAQ: Illegal Injectable Enhancement Products
Why did Gauteng Health issue the warning?
The department issued the warning after two patients were hospitalised with severe complications, including organ failure.
What types of injections are involved?
Officials say the substances were linked to body enhancement and sexual performance enhancement injections.
Are these products medically approved?
No. The department says the products are not approved for human use.
What symptoms can occur after using illegal injections?
Possible symptoms include swelling, burning, pain, infections and organ complications.
Who should administer injectable procedures?
The department says injectable treatments should only be administered by qualified healthcare professionals in regulated settings.
What Happens Next
The Gauteng Department of Health says investigations into the source and distribution of the substances are continuing in collaboration with law enforcement and regulatory authorities.
Officials are expected to continue monitoring illegal enhancement products circulating within Gauteng while public health authorities intensify warnings around unregulated cosmetic procedures and injectable substances.



