Uneven Healing Post BR?

All of your issues are of concern. There is not much you can do until every thing has healed. Then at that point you may need a revision. If you have developed a black scab over the areola then this may indicated some compromise of the blood supply. Continue with your wound care as instructed

I'm sorry to hear about the concerns you have him after breast reduction surgery. Your description is most consistent with blood flow compromise to the breasts with the “hard lump”. You may be experiencing an area of fat necrosis and/or superficial tissue compromise. At this point, in your recovery, it is likely that there is not much to do besides what you are already doing. Close follow up with your plastic surgeon, patience, possible dressing changes as unhealthy... more

Uneveness side to side in the early postoperative period of breast reduction may be a normal variant. Black nature and drainage of one nipple areola coupled with lump underneath may suggest some tissue compromise. Without having pictures, it is a bit difficult to assess. However, in the absence of gross infection, the area should be managed conservatively.