A 20-year-old lady presented to the dermatology outpatient department with an asymptomatic lesion on the nape of her neck which was gradually progressive over the past 7 years. Cutaneous examination revealed a skin colored, well-defined plaque of 30 cm × 15 cm size extending from the lower scalp hair margin to the nape of the neck on the left side .It had an irregular surface and was studded with multiple comedones A punch skin biopsy showed globules of mature adipocytes deposited between the normal collagen fibers of the papillary dermis.