Next determine the consistency by pressing on the lesion and then palpating it
between your fingers. Terms used to describe consistency include rock-hard, firm,
rubbery, fluctuant and soft. Also note how far the lesion extends below the skin surface
by feel. If a lesion is completely below the surface, is it fixed in place (thus attached to
the epidermis and/or dermis) or freely moveable (thus completely underlying the skin)?
Lastly, subtle changes in the feel of the skin surrounding a lesion (i.e. an apparently small
malignancy to the eye) may indicate more extensive involvement of the area, and may
have important therapeutic implications.