A 53-year-old man from Somalia with a history of hypertension presented with multiple asymptomatic bumps on his face that appeared progressively over time. He denied having a personal or family history of similar lesions, renal cell carcinoma, spontaneous pneumothorax, or other pulmonary disease. Physical examination revealed diffuse flesh-colored, dome-shaped and pedunculated papules on the face, neck, upper back, chest, arms, and axillary folds (Figure 1). Histopathologic analysis of biopsy specimens taken from the left jawline (Figure 2) and left forearm were consistent with fibrofolliculoma and trichodiscoma, respectively. Genetic test results were positive for a novel nonsense heterozygous mutation p.Glu410Stop (E410X) in exon 11 of the FLCN gene. The patient was treated with shave removal of the lesions that were particularly disfiguring. At last follow-up, he was undergoing evaluation for renal and pulmonary disease.