This patient presented with a firm tender deep nodule on upper arm. Path report came back as angiolipoma. Angiolipomas are similar to lipomas, however they commonly are tender or painful unlike lipomas. Angiolipomas differ from lipomas in their composition because they include vascular and neural elements as you could see in the video. There were some more firm lighter colored globules that were removed. Interesting little growths that can be abnormally painful. Thanks to my patient for sharing her procedure, she’s excited to watch. Thanks for poppin by! Dermatology procedure. Dermatology Physician Assistant. Punch removal of vascular fatty growth. MrPopZit.