These common skin growths can be quite alarming in appearance but are benign. They occur anywhere on the skin of middle-aged and older adults and often are numerous. They start as small rough bumps and then slowly thicken and get a warty often multicolored appearance. As they can look like warts, moles or even skin cancer, questionable lesions should be seen by a dermatologist. As they are benign, they need only be treated if they are irritated or inflamed. Of course we will often treat them on our patients because of aesthetic concerns. They can be removed with liquid nitrogen or surgically.