Most, but not all, skin coloured facial papules are intradermal naevi. Dermoscopy can improve diagnostic accuracy for melanocytic lesions and other common skin tumours.
A 58-year-old woman presented for assessment of an enlarging lesion situated on her left chin. She had sought attention for the lesion 12 months previously, but had been reassured that she had a benign facial naevus, which was of no concern. Her husband had noticed that the superior papule had been slowly growing in size. It was otherwise asymptomatic and had never bled or crusted.