Normal to have slow healing/bruised nipples after preventative mastectomy, as well as to add more saline to this side? (Photo)

Your surgeon is the best one to guide you through the postoperative course since he/she has been with you since the beginning.  It appears that you are off to a good start.  It will take many months to heal.

the immediate nipple sparing mastectomy reconstruction involves many judgement calls. in his opinion it was safe to expand a little further.  the partial loss of a nipple is not unusual and usually jeals quite nicely.  be patient

Thanks for your question. I actually think everything looks ok. It is very common to have portions of the nipple-areolar complex that have some delayed healing after nipple-sparing mastectomy. I see it all of the time. The good news is that they tend to heal remarkably well in time. It sounds like your surgeon was able to give you a good "head start" on the expansion, and I bet you will look great once it's all healed. Hang in there, and best of luck to you.