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This is a congenital nevus birthmark on the shoulder of a 25-year-old male. Although we could have improved this through the use of lasers, it would have taken multiple sessions. The patient wanted to have it removed quickly and permanently. Therefore we did a surgical excision with emphasis on a good cosmetic outcome burying the stitches in to avoid unnecessary rail road track marks on the sides of the incision.
Cameron K. Rokhsar, M.D. F.A.A.D., F.A.A.C.S.