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Presentation of calcinosis cutis 35 years after silicone nasal implant reconstruction

© BMJ Publishing Group Limited 2021. No commercial reuse. See rights and permissions. Published by BMJ. DESCRIPTION A 63yearold female patient with a history of congenital saddle nose deformity and two previous reconstructive rhinoplasties presented with a painful nodule, progressive swelling and mild redness on the nasal dorsum and rightsided nasal obstruction. The last of her two closed rhinoplasties was performed over 30 years ago, the operative details of which were not available. However, procedures included possible use of autografts from the nose and suspected allograft. Only recently did she develop