A woman in her 60s presented to the clinic with a 3-month history of pain, swelling, and erythema on her face. Eleven years earlier, she had been diagnosed with left breast carcinoma and had undergone a mastectomy with subsequent radiotherapy and chemotherapy. Seven years later, she had been found to have left supraclavicular lymph nodes metastasis and had undergone a surgical excision. On presentation for the current problem, the patient experienced pain on palpation, but denied fever, chills, or other symptoms. A physical examination revealed violaceous swelling with telangiectasia and necrosis on the forehead, eyelids, nose, and cheek, predominantly involving the left side of the face (Figure 1). A biopsy of the lesion was performed for histopathological analysis (Figure 2).