What's Going on with my Nipple? (photo)

A month ago I had a male breast reduction surgery I had a problem with blood flow to the nipples but my surgeon said that the blood vessels will be rehabilitated and the black part come off in a few weeks But nipples show signs of necrosis Is it superficial or deep? the big black piece looks like it's going to fall

Doctor Answers (10)

Partial areola loss after gynecomastia surgery is very unlikely but can heal without untoward results.

+1

The photo demonstrates partial loss of viability of the areola. There is a good chance that is the eschar separates in the areas given the opportunity to heal it might look fine.


Atlanta Plastic Surgeon
4.5 out of 5 stars 10 reviews

Tissue Loss After Gynecomastia Surgery

+1

Unfortunately, you have full-thickness (deep) tissue loss.  These area will peel off eventually when the healing is complete beneath.  This healing will result in some contour issues with the nipple and areola.

Dr. ES

Earl Stephenson, Jr., MD, DDS
Atlanta Plastic Surgeon
5.0 out of 5 stars 9 reviews

Male Breast Reduction and Areolar Necrosis

+1

   Areolar Necrosis can occur, and yours appears to be at least superficial.  If it is superficial, the areola should do very well with time.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 238 reviews

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Nipple Loss after Gynecomastia

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Unfortunately, you suffer some loss to your nipple.  This is a very rare but recognized complication.  It can be more common in smokers.  Let it heal and probably nothing else will need to be done after time and massage.  However, you may need revision to the nipple but I would wait 6-12 months.  Good Luck.

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Nipple Necrosis following Breast Reduction

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You have lost some of your nipple due to necrosis which is a fancy term for "tissue death". It appears that there is no infection so most likely it was due to too little blood flow. This is a complication that can happen but fortunately not commonly. It is seem more often in smokers or nicotine users. I would wait several months to a year to determine what if any reconstruction you may need. 

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It appears you have some loss of tissue which may either be superficial or deep.I would recommend you contact your surgeon.

Jay M. Pensler, MD
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Nipple necrosis after gynecomastia surgery

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You have necrosis of part of your nipples. This occurs when the tissue does not have enough blood flow. At this point, you need to have the black tissue removed (debrided) and wound care. Best of luck.

Paul Wigoda, MD
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What's Going on with my Nipple?

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The blood flow to the nipples was diminished enough that some of the skin has not survived. The good news is that the nipple appears to have enough blood supply, and once this is healed it will probably not look much different than if nothing like this had happened. 

It might speed up the healing if your surgeon would remove the black tissue which is  dead skin. This requires wound care, but not surgery.  If at 6 months the outcome is not satisfactory, that would be the time to consider a touch up surgery. 

All the best. 

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What's Going on with my Nipple?

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Unfortunately you had/have a post operative complication of wound edge and nipple necrosis. Aggressive daily care and weekly office visits is indicated. Healing scan take a month o more. Sorry for the issues. 

Darryl J. Blinski, MD
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Gynecomastia

+1

It is not very common to see areas of necrosis of the nipple areola after gynecomasia surgey.

You do have some areas of skin necrosis. There is nothing that can be done now other than wound care, and the tincture of tie and see what would be the final results. After complete healing then revaluate, amy be a second opinion and try to remedy the situation.

Samir Shureih, MD
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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.