The illicit use of fillers has significantly increased. especially among transgender women (transwomen) attempting to fulfill unmet gender affirmation needs. We present a case of liquid silicone filler migration to the distal lateral thigh. multiple years following an illicit gluteal augmentation. https://www.nacrack.com/mega-pick-As-for-Me-and-My-House-Wall-Decal-in-Hebrew-Yahauh-flash-find/