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.alarecre.com/NHL-Dallas-Stars-Black-Background-iPhone-13-Pro-Max-MagSafe-Case-p96318/