Breast Augmentation: Q&A
Ask a QuestionIs my Nipple Okay? (photo)
Breast lift and aug 7 days ago. I am concerned about the outer edge of my nipple. I realize much of the purple is bruising but some is taking on a black color and is hard/ Crusty to the touch. It is not adhering to the surrounding skin and can be moved. Will this slough off? Will it spread? Dr didn't seem concerned. Could this be partial necrosis?
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15 Doctor Answers |
Asked by
Sarah Cape
in Cape Coral, Florida
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Partial skin loss on nipple after breast lift/aug.
As my colleagues have stated, this does appear to be a case of compromised circulation causing relatively small areas of what will probably end up as partial thickness skin loss. Your surgeon may have seemed to you to be unconcerned, but his response is more likely "There's nothing else to do now but keep the wound edges clean, protected, and let the majority of living tissue go on to heal." Far from being "unconcerned," I suspect he's trying to reassure you that this will go on to heal much...
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Superficial Nipple Areola Compromise after Breast Aug and Lift
The picture appears to exhibit a modest amount of nipple areola compromise that appears to be partial thickness. Most of the time these should go on to heal without a great deal of problems or a compromised scar. Kenneth Hughes, MD breast augmentation Los Angeles, CA
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Nipple Trauma
It seems that the blood supply to the area has been compromised. I agree with all the suggestions that have been put forth. You basically have to keep the area clean and let good tissue live and bad tissue die off. The key is to keep very close contact with your surgeon so that you can be monitored closely.
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Nipple
You appear to have some bruising and significant swelling. You need to give the swelling time to resolve.
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Nipple Healing after Breast lift and Augmentation
The edges of your nipple appear to have areas which will heal more slowly due to the blood supply not being ideal. The best thing to do now is use antibiotic ointment and ask your surgeon about creams to heal faster such as "wound-be-gone." It will take some time to heal, but will likely end up healing better than it looks.
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Is my Nipple Okay?
Appears as a slight skin edge necrosis. This is managed by local wound care and allowing further healing time.
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Bruising vs superficial necrosis
Hello,
Thank you for the question and photos. It appears from the photo that it might be either bruising or superficial necrosis ( not enough blood supply). Regardless of which of the issues is actually the case there is not much that can be done at this time other than to protect the area and keep it clean. I would try and see your plastic surgeon relatively frequently since he/she will have to guide you along the process.
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Areola Necosis
I am going to assume you had a periareolar incision with you breast augmentation. The pictures you have presented appear to represent necrosis at the periphery of the areola. Conservative management is warranted. This means close observation but cold also involve removal of the suspect areas and allow for spontaneous healing with time.
Dr. ES
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Partial Nipple Necrosis
Dear Sarah,
Although blurry, the photos you have sharing with us show partial necrosis (tissue death) around your areola.
I believe that at this point your surgeon did provide you with a care regimen so maximal healing is achieved; please do follow it.
In the near future, you should anticipate a scar that could be improved after you have achieved total recovery through scar excision.
That being said, please remember that commendable results require an exceptionally skilled...
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Partial necrosis of areola after breast lift/augmentation
The outer edge of your areola is showing necrosis. It's hard to discern whether this is partial or total. I assume that your plastic surgeon has seen this and initiated local wound care regimen. At this point, just wait it out and allow time to show just how much or how little the tissue is nonviable. The treatment is then allowing the wound to heal first and then deal with revision later.
Best Wishes,
Stewart Wang, MD FACS, Wang Plastic Surgery
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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