Pilomatrixoma is a benign neoplasm of ectodermal hair follicle germinal matrix cell origin. At least 50% of pilomatrixomas are reported to arise in the head and neck, and 40% occur before the age of 10 years.1-3 Pilomatrixoma is the third most common reason for excision of a cervicofacial mass in children, after lymphadenopathy and epidermoid cysts.