My nipple is caved in after breast implant removal (Photo)

There are risks of contour irregularities after implant removal which are usually temporary and less commonly long-lasting. I tell patients to expect less than satisfactory contours immediately after implant removal from the immediate deflation. The tissues will recover over months. Indentations can occur from areas of thinning that have the potential to puff up over months, or they can occur from scar tissue and adhesions. It can take 6 months to 1 year to see the improvements so it is essential that you are patient. Massage may help if it is related to scar tissue, but don't start unless instructed by your doctor. Massaging too soon after surgery can cause swelling or fluid collections. If there are any persistent issues not improving over 6 months to one year, fat injections or breast lifts may improve the appearance.

hello concavenipplelady Inversion can occur with breast development in as many as 2% of women
and may be on one or both sides. Sometimes the nipple can be expressed
forward. The nipple may come out with cold or conversely the cold can
pull the nipple in as the areola contracts. This can also occur after
breast feeding problems, infection, trauma, or with breast cancer.
This procedure can be performed in the office under local anesthesia,
but it is commonly performed with other breast surgery such as breast
augmentation, breast mastopexy, or breast revision surgery.
In severe cases of nipple inversion the breast ducts may need to be
severed. Breast feeding can be affected by these procedures so this must
be a serious consideration. Devices such as the Niplette by Advent can
be used without surgery with some success. It is often used after
surgery to create suction and maintain the correction. #correction #inverted

4 days is really too early to tell what your final outcome will be.  There is usual still some swelling at this point, especially if a capsulectomy was performed which is why drains would typically be used in this scenario.  A seroma (accumulation of sterile fluid) can form in the breast implant pocket following removal of implants (with or without a capsulectomy but more likely with a capsulectomy).  This can cause overall swelling and contour irregularities of the breast.  This type of swelling can occur in addition to swelling within the tissues of the breast (tissue edema) such as the muscle, breast tissue, subcutaneous fat and skin.  Tissue edema will eventually go away on it's own without intervention.  Seromas can persist and even enlarge over time and may require aspiration and/ or drainage, and sometimes a drain may be required again.  A simple ultrasound can be obtained to evaluate for possible seromas.  I would recommend that you follow up with your surgeon closely to monitor the amount of swelling.  He/ she will recommend the next step to take should the swelling fails to improve.  Best wishes.

Dear concavenipplelady,I understand your concern and it is quite normal to be concerned about the outcome following an implant removal surgery. However, you are still in the very early stages of the healing process at 4 days  post op.
Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.

At the early stage of the healing process, the tissues are still swollen. Once the swelling subsides you will be able to see the final result of your surgery.
Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

The shape of the breast/nipple should improve as healing progresses.  Continue to follow the advice of your plastic surgeon for optimal results.  Massaging of the area may be indicated beginning in the next week or so, but check with your surgeon first.

Your breast will improve with time and nipple will look better. Your best option is fat grafting and if you weight more than 95 lb, you have fat  for grafting.

Hello and thank you for your question and photo's.  It is still early to know the final result.  If it does stay concaved , you may want to have fat injected into the areola.

Thanks for your question and photos. What I can see in your case it is something that I have seen several times before. Often this significantly improves as the swelling decreases. You are still in the early stages postoperatively. Having said that, it is also possible for the nipple to scar to the chest wall. I usually recommend some massage of this area after 10 days postoperatively. It would be best to discuss this with your surgeon at your early follow up. Occasionally, a steroid injection can soften or free up the scar and sometimes fat grafting is ultimately needed to improve the shape in this area.  you are still early in your recovery but close follow up by your surgeon is recommended.

It is not uncommon to have some caving in after breast implant removalThis may improve with time .If it does not, fat injection should be considered

This can happen right after the surgery as swelling occurs internally.  Take supplements like arnica and anti-inflammatories to reduce the swelling.  In your picture it apprears there is significant swelling in the upper portion of the breast.  This can also occur from having an ace wrap that is tight.  Go to my site for more information but I believe this will sort itself out with time.