[Injection of synthol in a bodybuilder can cause chronic wounds and ulceration]

In this case report we present a 45-year-old male bodybuilder, who had injected synthol and paraffin oil in both upper arms for augmentation purposes. This led to a circumference of 66 cm of his upper arms. His arms were rock solid and clearly deformed. Few years after the injections the patient suffered from spontaneous ulcerations on both arms. Conservative wound treatment with antibiotics and compression therapy had good effect on the ulcers of the right arm. The left arm needed surgical revision and negative pressure wound therapy preparing the tissue for a split skin graft.