skin causing augmentation (Table 1). Although some patients have no complications the injected materials cannot be metabolized and a foreign body reaction occurs (Hohaus et al., 2003; Kokkonouzis et al., 2008) and delayed sequelae, include the formation of foreign body granulomas, known as paraffinomas, associated with tissue destruction (Ponyai et al., 2010), an increased risk of penile cancer (May and Pickering, 1956) and other complications can occur.