Mid-dermal elastolysis (MDE) is a rare, acquired, idiopathic disorder of elastic tissue, characterised clinically by macules and plaques with superficial fine wrinkling and histologically by focal loss of elastic tissue in the reticular dermis. Herein we present a 26-year-old female patient with eruptive MDE and briefly review the current literature. Except for stressful life events recently, no causative factor could be elicited from personal history. A trial of topical medications was ineffective both in reducing the unsightly appearance and in halting MDE progression. Awareness of the condition and reporting of successful therapeutic experiences might enable appropriate management of affected patients.