Penisgate erupts at Olympics; scandal exposes risks of bulking your bulge

Bruno Sassi, the communications director for FIS, the international ski and snowboard federation, seemed less amused, telling the BBC, “There has never been any indication, let alone evidence, that any competitor has ever made use of a hyaluronic acid injection to attempt to gain a competitive advantage.”

But what if they did? Here’s what we know about hyaluronic acid and paraffin for penis augmentation.

Hyaluronic acid

While some news outlets have played up the “acid” part of its name, hyaluronic acid is not some nefarious flesh-melting hazard. It’s a common filler used for various clinical purposes.

Hyaluronic acid is a polysaccharide that is naturally found in a wide variety of tissues in the human body, including the skin, eyes, and connective tissue. It’s a chief component of the extracellular matrix. It attracts water molecules to itself, creating volume that can provide structural support. In a pure form, it has no tissue or even species specificity and therefore is considered to have little risk of sparking immune responses.

As such, hyaluronic acid gel fillers are used in a variety of medical procedures, with approval from the Food and Drug Administration. Hyaluronic acid (HA) fillers are injected into joints, particularly knees, to relieve pain from mild to moderate arthritis, which can decrease the natural amount of HA in joints. Age also decreases natural levels of HA, and one of the main uses of HA fillers is for cosmetic purposes—plumping lips and cheeks, and minimizing the appearance of wrinkles and fine lines in the face. HA fillers can also be used inside the eye in a variety of surgeries, including cataract extraction and corneal transplants. It can also be used topically for wound care and to relieve skin pain and itching.

For these purposes, the most common adverse effects are pain, bruising, redness, itching, and swelling, which usually last for just a few days. In extremely rare cases, there can be more serious side effects from injections, such as bacterial infections, tissue death (from blocked blood flow), and a granulomatous foreign body reaction, in which the immune system tries to clear a foreign substance, such as bacterial impurities, leading to a collection of immune cells.

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