Nipple Sloughed Off From Necrosis Following Mastopexy.....normal? (photo) [graphic]

Keep the areola clean, and let it heal.  Looks like you had augmentation in addition to breast lift, which can compromise circulation to the areola.  Don't worry, the areola heals well and can later be revised if necessary, either surgically, with tattoo, or both.  As long as the nipple doesn't turn black and fall off, you will likely have a satisfactory outcome.

Thank you for the question and pictures.

Unfortunately, what you are experiencing does occur on occasion after any type of surgery that involves moving the nipple/areola complex. As you probably know,  this is related to compromise of arterial inflow and/or venous outflow to the areola.

Obviously, no one can predict exactly what will happen in the future but based on your picture it seems that the tissue loss is “partial thickness” ( the pink area of the areola  suggests that full thickness necrosis has not occurred).  Time will tell what the final appearance of the areola will be and whether you will benefit from scar revision surgery.

I would suggest that you continue close follow-up with your plastic surgeon.

Best wishes.