Does over activity cause the nipple to separate from the skin? (Photo)

Thanks for your question and the photos. I'm sorry that you are having issues with healing. Over activity can cause the disruption of the closure. It looks like you have a very large implant. The internal pressure of that large an implant causes stress on the closure. When the augmentation is combined with a lift it is especially problematic. As long as you are not doing heavy lifting, exercise, smoking, etc. this normally will heal up. It will take 4-6 weeks to have a better idea of your outcome with regard to the scarring. Keep visiting your PS to make sure there is no evidence of infection. Best of Luck!

Hi,
Thank you for the question. It appears you had an augmentation-mastopexy (combination of a breast lift and implant). It looks like blood supply to the lower portion of your left areola is compromised, causing skin necrosis. There is also some wound breakdown of the vertical incision and around the areola. There are many reason why this could happen (excessive tension on the skin at the time of closure, too much skin undermining, over dissection of breast tissue, etc). It's hard to say without examining you, but both necrosis and wound breakdown could be superficial; the necrotic skin will slough off and it heals with some scarring that can be revised once everything heals. Wound breakdown, if stays superficial and does not progress, can also heal spontaneously, but may leave a slightly wider scar. It's important that you see your surgeon frequently to make sure things are moving in the right direction (meaning you don't develop deeper infection involving the implant pocket or exposure of the implant). Best of luck!

Dear Marmar14Thank you for your question and photos!  I am sorry that you are having difficulty.  Wound separation can be caused by trauma, swelling, tension of closure, smoking, infection, stitch reaction, poor circulation, fat necrosis and allergic reaction to tapes. Please follow up with your surgeon,With Warm RegardsTrevor M Born MD

but if your nipple was already dusky post-op, I would speculate that there is more to the story here.  So did you have darkened and cool nipples post-op?  And did you really do anything that you were not supposed to do?  If you did not, then this is entirely a result of your procedure and the surgeon's technique.  You will have some scars but they often heal better than you could ever imagine.  If your areola sloughs, that is more significant issue and scarring is common then.  Focus on healing and getting through this so you won't impact the implants and if you didn't do anything but your surgeon blames you for this, I don't have many nice things to say about him/her.

From the pictures it is apparent that the surgery was breast lift with augmentation. There is some wound separation on the Rt and some nipple areola complex skin necrosis on the Lt. These may happen after this type of surgery. Local wound care and close follow up with your surgeon is advised.