Do I have an infection in my left nipple? Please advise (Photo)

I'm 18 days post-op from my breast reduction surgery! It has t been an easy recovery, but I thought things were getting better until I fell an opened up an incision. I contacted my PS and he said to keep it clean and out antibiotic ointment on it. I have been having night sweats and I've been running a low grade temp.

Doctor Answers 6

Nipple Necrosis

Thanks for your picture.  It looks like you have nipple necrosis.  There may be infection associated with it but this is only diagnosed with an examination.

Infection?

Thank you for including a photo. While it's somewhat difficult to tell from your photo whether or not you are having an infection, your symptoms do sound concerning for one, and it's always better to be safe and contact your plastic surgeon to see if he/she recommends a course of oral antibiotics. 

Tracy Kayan, MD
Minneapolis Plastic Surgeon
5.0 out of 5 stars 10 reviews

Wound healing

From the photo it appears that you have some degree a vascular insufficiency. I recommend you follow up with your plastic surgeon.

Marc J. Salzman, MD, FACS
Louisville Plastic Surgeon
4.7 out of 5 stars 44 reviews

Wound healing problems after a breast reduction

Your problem is more due to vascular insufficiency.  Continue to follow the advice of your plastic surgeon so that you heal properly. 

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 16 reviews

Do I have an infection in my left nipple? Please advise

You need in person follow up care for this serious post op complication. Local self care is NOT appropriate in this presented case....

Looks like necrosis

Rather than infection the photo looks more like necrosis of the tissue. Proper care by your surgeon with debridement and would care will allow it to heal.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.