Mid-dermal elastolylis (MDE) is an uncommon skin disorder characterized by a loss of elastic fibers in the mid dermis. The pathogenesis of MDE still remains unclear. This entity usually affects the neck, trunk, and upper extremities. Three clinical patterns have been described: patches of fine wrinkles, perifollicular papular protusions, and persistent reticular erythema. We report a patient with disseminated MDE.