A white woman in her 60s with a history of melanoma on her left back, Breslow thickness 0.40 mm, presented with a new brown spot on the left plantar heel that had developed within the past month. The new lesion was not brought to her attention during a pedicure appointment 3 weeks prior to presentation. The patient denied pain, pruritus, and bleeding associated with the lesion. She also denied changes in appetite, unexpected weight loss, lymphadenopathy, nausea, vomiting, and diarrhea. The patient had a history of multiple melanocytic nevi on the head, neck, trunk, and extremities.