Nevus lipomatosis superficialis is a rare, asymptomatic hamartoma of skin. We report 3 adult patients with NLS of Hoffmann — Zurhelle type, 2 males and a female. Two cases showed clinical peculiarities — ulceration or association with ipsilateral gluteal hypertrophy. Reduction buttock lift was performed to improve body contour. In conclusion, nevus lipomatosis superficialis can become symptomatic. Although simple surgical excision leads to a complete cure in the majority of cases, sometimes more complex procedures become necessary.