What is too much bleeding for a (post-op four days) nipple graft? (Photo)

I would recommend going to see your surgeon as this much bleeding may potentially interfere with proper take of the nipple graft. More than likely it's a normal amount of oozing, but the added amount of moisture under your dressings form the bleeding may be of concern as well. 

It is very common to have some bleeding from around the edges of the nipple graft or the bolster, which sits on top of the graft. Most of the time. This causes unnecessary distress for the patient. The clear plastic bandage allows you to see this small amount of blood, oftentimes exaggerating exactly how much bloodThere is there, and setting up needless worry. Hopefully by the time you read this answer, the situation will be resolved.

It is a little tough to tell from you photo.  Blood under those clear dressings tends to always look worse than it is.  Still, if there is any asymmetry between the sides after the surgery, it is always best to have it looked at.  Hope this helps.

Thank you for your question. You should get into see your surgeon as soon as possible. If your have severe asymmetry, bruising and bleeding you most likely have a hematoma. Good luck.