Seborrheic keratosis is the most common benign epithelial tumor seen most often on the eyelids and face. They are considered to arise in aging skin associated with UV exposure. They typically present as sharply demarcated, hyperkeratotic, slightly elevated lesions with a “stuck-on” appearance and vary from skin-colored to darkly pigmented. They usually do not require treatment, although patients sometimes want them removed for cosmetic reasons or because they become irritated. Non-invasive therapies such as cryotherapy is the most commonly employed procedure but surgical excision is an alternative.