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Im Dr Heather siliberto Im one of the dermatologists its very good to have you with us thank you yeah nice to be here yeah well and I know today it sounds like you were going to come in because were going to be working on this spot have you noticed any changes in that spot since I had seen you last no no changes okay good and I wanted to just review too to make sure you havent had any health history changes since we had seen you last and so Im going to pull up on our clipboard everything that we have listed previously have you started or stopped any of your medications nope okay and I have listed no known drug allergies is that still the case correct no known allergies perfect and otherwise for for active health issues we have down here just these things here any other changes to that no changes perfect okay Lanny so today as we discussed were going to be working on taking that spot out and you can feel with this spot under the skin it feels like either a lipoma or an angiolipom