Half of nipple lost after wound dehiscence. What can I do? (Photo)

Thanks for the question. I recommend that you consult with a local board certified plastic surgeon so that he may examine your areola and check for possible infection or recommend a revision.All the best,Dr. ResultsMiami, FL 

Hello, for what i could evaluate on the photos, you would need to wait for your skin to heal,completely and the scars to mature a bit longer,the you could have a revision of the scars, and round up the areola again, shouldn't be a problem. Best wishes 

Thank you for your question and photographs.  The good news is it doesn't appear that you have lost the lower half of your areolas.  The bad news is that the wound opening during your healing period has caused the healing scar to blend in with your areola tissue to distort its appearance.  If you would want to try and improve the appearance of both, you can have a scar revision performed, but you would need to wait until you are completely healed from this surgery. This may be a year or more from the original date of your surgery, and can be tested clinically by a board certified plastic surgeon.  

Hi, sorry to hear about your journey. If the skin is settled down and there is no active inflammation you could consider medical tattooing, to give you the colour  you are missing in the areola.hope this is of help to you, please keep me posted of your progress.Warm regardsDr Prashant Murugkar

whenever we do breast augmentation and lift there is a risk for nipple lossthe risk increase with smokingwhen we have nipple necrosis, we need to wait for a year then revise the nipple by removing the scar excess and redesign the nippleif with this maneuver  there is still nipple loss. tattooing can be done to match the colorgood luck

Hi,Thank you for your question and your photos.  Your photos demonstrate scarring from the wound opening up. The nipples look intact. Right now the scars are red and immature.  Given time the scars will fade and blend into to the surrounding skin better.  If you remain unhappy with their appearance, they can be revised under a local in the doctors office.  Another alternative for you might be to consider a tattoo of the areola(the bottom half of the nipple that you mention)  to improve the color.  Good Luck.  Doctor Bev

You will likely need a scar revision to try to improve the appearance.  From your photos, you do not appear to have lost "half your nipple".  Your entire nipple areolar complex appears to be intact, but you have a scar extending inferior to the areola.  This can be improved with a scar revision using a concentric mastopexy approach or perhaps only a present mastopexy type of approach.  You should consult with an American Board of Plastic Surgery certified surgeon to discuss your options.

Dear Andrea: Sorry to hear about your surgery results. I have had been impressed with medical tattoo of situation like this. It is also minimally invasive. I would seriously consider this. Good luck.

Hi ThereI'm sorry you have had this issue of skin necrosis after what appears to be an augmentation mastopexy.  There is nothing to do now but wait!!! In time the scar will be less obvious and the borders of the areola may become clearer.  Tattooing the areola may assist with better definition but tattoo pigments are poorly taken up by scar so this may be risky.  Unfortunately this complication is seen occasionally in overseas surgeries as the surgeons may be more likely to take chances with the degree of skin excision, the size of the implants and the choice of patients (Smokers, etc) when they know the patients are going to return to their own country after surgery.RegardsMark HanikeriSpecialist Cosmetic Plastic Surgeon

At this point of time scar appears immature. Tts best to use silicon gel sheets that you can wear under your bra . The scar will become flatter and paler if its elevated . You can go back to your surgeon who can have a look then , and do scar revision surgery under local anaesthesia to improve it, if necessary.