I had a breast reduction 4 days ago. 4lbs removed from each breast. Surgeon said the right side was complicated and he had difficulty with the nipple. He injected it with heparin to make it bleed, draw blood to it. It stopped bleeding on POD 3. I'm worried that the nipple is progressing towards necrosis. I called the on call MD, who told me there wasn't anything to do right now...just follow up when the office opens on Tuesday. Do I need to go to an ED? Can this wait? Does it look like necrosis?
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November 7, 2019
Answer: Nipple healing after large breast reduction
While it is not possible to make a definitive diagnosis based on photographs alone, it does not appear that you have an obvious infection. Rather the appearance is consistent with a wound healing problem and probably associated with an ischemic injury, i.e. a blood supply/circulation problem....
First of all, an in person consultation is needed to know for sure what can be done, that being said you have a number of options. One is weight loss -- you will decrease your over all fat - the other would be some sort of breast reduction and fat removal. Both depend on the in person...
I'm glad your are pleased with your reduction. Expect it to take months to feel relatively normal. At one week after surgery, there are still many changes to take place. Be patient, follow your doctor's recommendations and be sure to ask your doctor any questions you have...
