Despite scientific literature replete with stories of disastrous results and disfigurement, illicit subcutaneous injections of massive quantities of highly viscous fluids are still performed, often by unqualified persons. The authors present a devastating long-term outcome of subcutaneous injections of a massive volume of silicone oil in the buttocks of a 46-year-old female patient and its resolution through dermolipectomy of the thighs and buttocks.