Do I have nipple necrosis? 3 days post-op. (photos)

Question

I had breast augmentation with mastopexy 3 days ago. Yesterday, as I was changing my dressings, I noticed that the left side of my areola was darker than the other side. I contacted my surgeon immediately, and he ordered NitroBid ointment to be applied to the area twice a day. Im still very concerned about it, but he thinks that it's fine. It's also oozing what looks like dark blood.

M. Scott Haydon, MD · Answer

Thanks for your question and the photo. You will likely lose the superficial skin, but unlikely it is complete loss. The Nitrobid can definitely help. Your swelling likely has peaked and hopefully things will start improving. Your surgeon should see you sooner than later. Best of Luck!

Vishnu Rumalla, MD · Answer

Thanks for your inquiry and pictures. I am glad you are communicating with your surgeon and nitrobid can help.  It is a difficult diagnosis to make from a picture, please continue to see your plastic surgeon and best of luck.

R. Scott Yarish, MD · Answer

I hope the NitroBid helped.  It appears from the photos that change noted within on day doesn't bode well for that 1/3 of the areola that has defined itself.  Good news is that the rest is ok and can the problem area can be repaired in expert hands.

Sugene Kim, MD, FACS · Answer

Based on your photos and description, your nipple areolar complex seems to have a vascular compromise.  It is good that you are communicating with your plastic surgeon.  Although you may experience superficial epidermolysis, nipple areolar complex will likely heal well.  Please follow your plastic surgeon's post-op instruction and follow up with him/her closely.Best wishes.

Cain R. Linville, MD, FACS · Answer

It certainly appears that your nipple is ischemic, and likely this is from venous compromise.  There are some options for treatment, and some of those include nitrobid, if it doesn't get better, then you may need some of the sutures removed to help with blood flow.

Do I have nipple necrosis? 3 days post-op. (photos)

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Answer: Nipple necrosis

Answer: Nipple necrosis

Answer: Nipple necrosis

Answer: Nipple necrosis

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Do I have nipple necrosis? 3 days post-op. (photos)

Answers (7)

Answer: Nipple necrosis

Answer: Nipple necrosis

Answer: Nipple necrosis

Answer: Nipple necrosis

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Everything you need to know about Breast Lift with Implants

Our mission is to create a world where every investment in modern beauty is Worth It.