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A 65-year-old male patient presented with multiple blackish raised bumps on left side of the face increasing in size and numbers since 10 years. There was no prior consultation or treatment for these complaints. He opted for Ayurvedic management and approached Dr Soumya. Based on clinical evaluation, the biomedical diagnosis was made as Seborrheic keratosis and the Ayurvedic diagnosis as Carmakila. Electric cauterisation was the primary treatment, followed by by Vrana ropana. Tridosahara and Jvarahara aushadha were also included in the treatment. In 10 days, the skin bumps fell off and the ulcer healed completely without any scar. This case demonstrates the efficacy of ayurveda in treating a chronic case of Seborrheic keratosis in its removal without causing any pain or discomfort to the patient.