Ophthal Plast Reconstr Surg, Vol. 32, No. 1, 2016 A 4-week-old healthy newborn underwent subtotal excision of a mass noted at birth. The base flanked the lateral canthus and continued onto the conjunctival surface of the lateral portion of the right upper eyelid. Horizontal and vertical ductions were full. The cutaneous portion, with many long hairs, was excised with consideration of further excision deferred until later in childhood. Histopathological analysis showed features of a choristoma with epidermal and dermal elements surrounding a core admixture of adipose tissue and collagen (Fig. 1). There were no endodermal elements. Cystic spaces, bone, and cartilage were not seen.