I am about 11 days out from breast reduction surgery & I noticed my right nipple looks different from the left. I haven’t lost any sensation. I have read about nipple necrosis & I’m concerned about that. Would there be any sensitivity with necrosis? The nipple seems to be burnt & blisters are forming. Is this a normal part of the healing process? The area is very sensitive to the touch. The right breast is way more bruised than the left so I was wondering if this had anything to do with it.
Answer: Wounds It is always difficult to advise on photos and a face to face review with your PS is always recommended if you have concerns but it is not unusual for wounds to look like this at this stage.
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Answer: Wounds It is always difficult to advise on photos and a face to face review with your PS is always recommended if you have concerns but it is not unusual for wounds to look like this at this stage.
Helpful
April 18, 2018
Answer: Nipple Blisters Congratulations on your breast reduction, Jbsluder!Thank you for sharing your photos and your concern regarding possible nipple necrosis. With either a breast reduction or a breast lift, the circulation to the breasts, and particularly to the nipples, is stressed and there may be areas of compromise. Blisters may form when there is some decreased circulation to the skin, causing some damage to the layers, but not enough to damage the skin through and through. The presence of sensation means that the deeper layers of the skin that house the nerve branches is alive and well! The changes that the skin may go through when there has been a decrease in the circulation may take days to weeks to fully evolve or "demarcate." If the skin damage is very superficial, the area will simply heal beneath the blisters; if the damage is still superficial but a little deeper, there will be some sloughing of the top layer of skin and a raw surface beneath that will then go on to heal; if a deeper process, the skin may turn into a yellowish or white, waxy tissue called "fibrin" that will then gradually slough (or need to be cut out) -- once the fibrin is out, the body will fill in the area with a pink tissue ("granulation") and then the defect will heal.Looking at your photos, the skin changes appear to be minimal and your results look very nice. Your surgeon will be in the best position to help monitor the skin's/incision's progress and to make any treatment recommendations should any be needed. Best of luck, and a speedy recovery! Dr. Ghafoori
Helpful 1 person found this helpful
April 18, 2018
Answer: Nipple Blisters Congratulations on your breast reduction, Jbsluder!Thank you for sharing your photos and your concern regarding possible nipple necrosis. With either a breast reduction or a breast lift, the circulation to the breasts, and particularly to the nipples, is stressed and there may be areas of compromise. Blisters may form when there is some decreased circulation to the skin, causing some damage to the layers, but not enough to damage the skin through and through. The presence of sensation means that the deeper layers of the skin that house the nerve branches is alive and well! The changes that the skin may go through when there has been a decrease in the circulation may take days to weeks to fully evolve or "demarcate." If the skin damage is very superficial, the area will simply heal beneath the blisters; if the damage is still superficial but a little deeper, there will be some sloughing of the top layer of skin and a raw surface beneath that will then go on to heal; if a deeper process, the skin may turn into a yellowish or white, waxy tissue called "fibrin" that will then gradually slough (or need to be cut out) -- once the fibrin is out, the body will fill in the area with a pink tissue ("granulation") and then the defect will heal.Looking at your photos, the skin changes appear to be minimal and your results look very nice. Your surgeon will be in the best position to help monitor the skin's/incision's progress and to make any treatment recommendations should any be needed. Best of luck, and a speedy recovery! Dr. Ghafoori
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