I believe the permanent stitch around my areola has shifted or popped. I have an open wound under my nipple. What can be done?

Dear kiki_vixen,I understand your concern. However, without a proper assessment it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment. Only after thorough examination you can get proper recommendations and advice.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Usually, most of the deep sutures that are placed dissolve on their own. Sometimes, the sutures will work their way to the surface. We call this a spitting suture. With removal of the offending suture and standard wound care,these usually resolve on their own. If, however, this is a permanent suture placed around the areola, this may need to be removed. I would recommend you go back and see your chosen plastic surgeon. 

It is difficult to definitively determine what the issue is without a photo, but it sounds like a small area of your incision has opened. This area likely will heal without further issues with the proper wound care. I recommend that you contact your plastic surgeon for a follow-up appointment as soon as possible to begin caring for this area. Good luck!