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Use of dermal fillers has increased over the years. Various injectable implants are used for soft-tissue augmentation. Penile augmentation practice using dermal fillers is not prevalent in India. Its debilitating effect has been known and the development of chronic granulomatous reaction into a sclerosing lipogranuloma/paraffinoma might occur. Identification and differentiation of certain dermal fillers and their tissue reaction are possible by histopathological examination. We report an unusual case of sclerosing lipogranuloma/paraffinoma of the penis in a 36-year-old married Indian male, following self-administering multiple penile filler injections leading to penile deformity.