A 45-year-old white woman requested treatment of numerous asymptomatic facial lesions located about her eyes (Figure 1). The cosmetically bothersome growths, which the patient had first noticed approximately 3 years earlier, were slowly increasing in number. The patient denied having a family history of similar lesions.
Examination revealed the periorbital distribution of multiple 1- to 3-mm nontender cystic papules, the majority of which were translucent, with a bluish hue. A scissors biopsy specimen was obtained from a characteristic lesion (Figure 2 and Figure 3).
Schleicher SM. Multiple Translucent Facial Papules. Arch Dermatol. 1998;134(12):1627-1632. doi: