A 22-year-old Afro-Caribbean woman presented with an asymptomatic lesion over her left temple that had been present for 4 years and was slowly enlarging. She was otherwise well. Examination revealed an erythematous pedunculated lesion, 1 cm in diameter, with a central plug (0.5 cm in diameter) (Figure 1). The lesion was excised with a narrow margin and sent for histopathologic examination (Figure 2 and Figure 3).