Before and after double nipple sparing preventative mastectomy. What are this risks for nipple necrosis? (Photos)

Question

I had a double profelactic mastectmay 7 days a go. Over the muscle high profile direct to implant 425ccs. I am 5'3'' and 118 lbs and was an a/b size before and now am a 36C. What is the usual timeline nipple necrosis begins? And when do I know I am in the clear?

Stephanie Beidler Teotia, MD · Answer

It is unlikely that you will experience necrosis given the results in the picture. Usually significant discoloration is seen in a necrosis situation. Exciting result!

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. If you are 7 days out from surgery and there are no signs of problems with your nipples, then you are in the clear. If there were problems with blood flow to the tissues, you would know it by now. You look great and you should thank your surgeon.Best of luck!

Allen Gabriel, MD, FACS · Answer

Thank you for your question and pic. Your nipples appear to be healing beautifully as the base of it appears to be viable 7days post surgery.   By now your nipples should have been black if necrosis occurred.    At this point you are in the clear and you may loose some height but otherwise it looks excellent.   Please stay in close contact with your plastic surgeon as the post operative care after such a surgery is important.  best of luck and congratulations on an excellent result and for going over the muscle.  You will be so much happier long term.

Ali Sadeghi, MD, FACS · Answer

Thanks for sharing your pictures. Looks like the nipples are both viable. Its not unusual to have some scabbing at the nipple after the procedure.  The scabs will fall off and the nipple will be viable and pink again.

Emese Kalnoki, MD · Answer

From the post op photo, it looks like your nipples are doing well.  It is unlikely that they will lose blood supply at this point.  Overall, looks like you have a beautiful result!  
Nipple necrosis is usually seen within the first few days after surgery - the areolas may start to look purple or dark red.  Some of those areas may recover, and some don't.  In your case, looks like you will continue to heal well.

Before and after double nipple sparing preventative mastectomy. What are this risks for nipple necrosis? (Photos)

Answers (6)

Answer: Nipple necrosis

Answer: Nipple necrosis

Answer: What are this risks for nipple necrosis after mastectomy?

Answer: What are this risks for nipple necrosis after mastectomy?

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Before and after double nipple sparing preventative mastectomy. What are this risks for nipple necrosis? (Photos)

Answers (6)

Answer: Nipple necrosis

Answer: Nipple necrosis

Answer: What are this risks for nipple necrosis after mastectomy?

Answer: What are this risks for nipple necrosis after mastectomy?

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Recommended reading

Everything you need to know about Breast Reconstruction

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