Bactracin Ointment or Neosporin Which is Best to Use on Nipple After Reduction, Free Nipple Graft?

Question

Is it best to use bacitracin or neo and do I put it all over the nipple area, my nipple area looks black.

Larry S. Nichter, MD, MS, FACS · Answer

Bacitracin or Neosporin (also called triple antibiotic, or polysporin)  ointment are similar. Neosporin contains Bacitracin, Neomycin and Polymyxin. For my patients I usually recommend Bacitracin as if you develop an allergy or sensitivity to one and the others are present on the skin you have a higher likelihood of also developing a sensitivity to those antibiotics as well. Both reduce the chance of an infection similarly in my experience.

Tom J. Pousti, MD · Answer

Always  best to check with your own plastic surgeon about concerns after surgery.  Remember that he/she knows your situation best,  including the existence of any drug allergies.
	Online consultants will not be able to provide you with meaningful advice.
	Best wishes;  hopefully, you will be very pleased with the  long-term outcome of the breast reduction procedure.

Robert Kratschmer, MD · Answer

Since you underwent a free nipple graft, you will want to use a cream that decreases the bacterial load but not interfere with wound healing. I normally recommend stopping either one 7 days after the surgery and switch to a moisturizing cream or petroleum gauze. I would check with your PS to see what his/her recommendations are.

Steven Wallach, MD · Answer

Bacitracin and neosporin are very similar and many use them interchangeably. It is best to follow your doctor's recommendations.

Robert L. Kraft, MD, FACS · Answer

These ointments are frequently used interchangeably but every doctor has his own preference.  If you have a nipple which could be problematic after free nipple grafting, you should be followed meticulously by your plastic surgeon and you should report any and all changes to him.

Stuart B. Kincaid, MD, FACS (in memoriam) · Answer

In our practice we tell our patients to use Bacitrin. Each practice is different you need to check with your PS.

Bactracin Ointment or Neosporin Which is Best to Use on Nipple After Reduction, Free Nipple Graft?

Answers (6)

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