Miliary osteoma cutis is a rare entity, is characterized by the deposition  of multiple fragments of mature bone in the dermis. They cause diagnostic, therapeutic and cosmetic concern especially in women who are usually concerned. There are two types of Osteoma cutis ,Primary and Secondary. Primary Osteoma Cutis is characterized by denovo bone formation in the skin. Secondary Osteoma Cutis is more common, seen in 85% of cases, as a sequel of various disorders. We report a case of primary  miliary osteoma cutis  of the face and also discuss the possible pathogenesis and  histopathological findings.