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The areola in the photograph is clearly suffering from the resizing and transfer. As it recovers the outer layer of skin will shed. Often times there are areas of pigment loss. Most the time these will recover completely.
Typically, the scabbed skin over the areola will flake off with time. The lighter skin of the areola will eventually heal with time. However, if the areola remains too light at the end of 1 year, you might require medical grade tattoo to darken it. It is best to closely follow up with your plastic surgeon for further recommendations from him or her.
It is best to contact your PS on further recommendations for post operative care for your areola. Usually if this occurs the black areas will scab and slough off in time, but your PS may have ointment or other treatment he/she may recommend.
Breast reduction is one of the most difficult of all breast surgeries when it ones to satisfaction of the patient. I am sure your surgeon should be vey happy with the result as I am and there are always scope for some improvement in all breast surgeries. I can send you some most horrendous...
Please schedule an evaluation with your board certified plastic surgeon to discuss your concerns. You surgeon will want to be aware that you have post-operative questions. Best of luck!
Thank you for your pictures. The fullness at the upper portion of your breasts depends on your breast tissue and the technique that the plastic surgeon uses for your breast reduction.