I had my breast reduction 7/26/16 and had some major problems with my left nipple and areola. I lost my nipple, and I have a rather deep fistula. I keep having this disgusting, smelly discharge from the fistula, and my surgeon thinks it is fat necrosis. I'm getting super discouraged because it won't heal. How long does something like this usually take to heal up? I've been packing it twice a day with strip gauze. Thanks in advance!
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November 2, 2016
Answer: Fat necrosis after breast reduction surgery…
I have had an occasional patient who has had this. I feel it is related to positioning during surgery or pressure from the belt that holds you during surgery. It has always been a temporary phenomenon. You might try putting a pillow under your arm to see if it helps you sleep on your side. Also...
It sounds like you need liposuction and excision of skin to the area just lateral to the breast, often referred to as an axillary roll, or lateral chest roll. I often try to include this as part of my breast reduction, but it is cosmetic, and not part of what insurance will pay for....
Congratulations on having undergone the breast reduction procedure. Yes, it is quite common for patients feel that their breasts are "too small" or "too big" immediately after surgery. For example, the surgical bra can be compressive leading to a "flattening effect" and patient impress...