Syringomas are small, skin-colored to yellow, 1- to 2-mm papules. They are most commonly found on the lower eyelids. They also occur on the malar cheeks, axillae, upper chest, abdomen, umbilicus, and vulva. Papules are usually symmetrically distributed and asymptomatic. Syringomas persist indefinitely and remain small. They have no potential for malignancy. They may resemble flat warts or sebaceous hyperplasia. Facial lesions are of cosmetic concern, and most patients request removal of larger lesions. The patient may be concerned that the lesions are cancerous. Women seeking evaluation of vulvar lesions may be concerned that the lesions are genital warts.