There are 2 lesions here in the dermoscope field. The one on the right has recently changed. The lesion on the left has classic features of a seborrhoeic keratosis (or basal cell papilloma). It has a well defined, ‘stuck on’ edge and multiple comedo like openings. The larger lesion is in 2 parts, the top right part looks just like the 1st lesion, the rest is pink with charcoal flecks. These are thrombosed capillaries. The patient can be reassured that this is only a traumatised seborrhoeic keratosis.