Will I regain pigmentation in my areola and nipples? (photos)

Question

I am 2 weeks post op breast reduction. About 4-5 pounds was removed. This was not a free nipple graft. Couple days ago the top portion of areola got darker than normal, then the skin (top layer) came off. Will I regain pigmentation? I would hate to have them stay pink & black :(

Mathew A. Plant, MD, FRCSC · Answer

Good question. Without examining you it is difficult to predict however it seems that you have suffered some superficial necrosis of the areola. It is a bit early to know exactly what will happen but it is likely that there will be some pigmentary difference between the portion that sloughed off and the rest of the areola. It may be lighter or darker than the rest, and it is possible that the difference will not be noticeable. It would be advisable to see your plastic surgeon for a proper examination to get their opinion. Best of luck.

Ryan Neinstein, MD, FRCSC · Answer

Thanks for the question the pigmentation in healing skin can be somewhat unpredictable but your final result will take several months

R. Laurence Berkowitz, MD · Answer

Four to five pounds is a major reduction and I imagine this has made a wonderful change in your life! Epidermolysis, or shedding of the outermost layer of the skin where the pigment resides is quite common after large reductions such as yours. Usually the pigment returns over a period of months. Be patient

Darryl J. Blinski, MD · Answer

If re pigmentation does not occur after 9 months than consider a expert tattoo artist to color match for you...

Stephen M. Davis, MD, FACS · Answer

Darker skinned people have a slightly higher risk of loosing some pigment. In some cases this will return so time is your friend. I would allow at least six months to let your body heal. If the pigment loss is permanent you can have the areola tattooed to try and closely match the colour. Good LuckStephen M. Davis, MD, FACSGreen Hills Plastic Surgery

Will I regain pigmentation in my areola and nipples? (photos)

Answers (8)

Answer: Will I regain pigmentation in my areola and nipples?

Answer: Will I regain pigmentation in my areola and nipples?

Answer: Pigment loss

Answer: Pigment loss

Recommended reading

Everything you need to know about Breast Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.

Will I regain pigmentation in my areola and nipples? (photos)

Answers (8)

Answer: Will I regain pigmentation in my areola and nipples?

Answer: Will I regain pigmentation in my areola and nipples?

Answer: Pigment loss

Answer: Pigment loss

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Recommended reading

Everything you need to know about Breast Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.