Sebaceous hyperplasia, also called senile sebaceous hyperplasia refers to a benign enlargement of normal sebaceous unit in the old age group. The lesions, single or multiple, elevated, cream to yellowish colored round papules with frequent central umbilication have a predilection for the forehead and cheeks. We present an atypical case of sebaceous hyperplasia on a 31-year-old man. About 15 years ago, a small skin colored papule developed on his right cheek without pre-existing skin eruption or trauma history. The asymptomatic papule enlarged slowly reaching up to a walnut sized plaque.