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This is due to reduced blood supply from one or more reasons. Find an expert in breast surgery who has great reviews and great before and after photos.Kenneth Hughes, MDLos Angeles, CA
All tissue is dependent on oxygen reaching it via blood supply. If the blood supply is compromised then the area it was supplying oxigen to will undergo necrosis ( dead tissue). Sometimes it can be partial necrosis or at times, full necrosis. Smokers have a higher chance of poor tissue healing. The microcirculation in smokers has been affected and therefore delivery of oxygen to the tissue is compromised. I hope this has bee helpful. Good luck.
A mastopexy releases the areola from the surrounding skin (and some blood supply). Blood flow through the breast into the areola remains and seldom is the areola in jeopardy.
Thank you for your question! Basically, with breast surgery, viability of the nipple-areolar complex (NAC) is always a concern. It is especially important when actually moving the nipple with procedures such as a breast lift or breast reduction. Vascularity to the NAC should always be taken into account and should be preserved. The blood flow to the area is already tenuous when the NAC is raised simply by cutting around it and the surrounding breast tissue. Maximizing the vascularity to the area is critical and caution taken during the procedure to allow optimal blood flow by keeping the NAC attached to a reliable source from the underlying breast tissue. Increased risk of necrosis is seen in smokers, diabetics, the use of implants during a breast lift, the degree to which the NAC is raised, too much compression on the NAC during the lift. Your plastic surgeon will discuss the risks of nipple demiseand special care taken during the procedure itself. Although a small risk, it is certainly present with any breast procedure. Hope that this helps. Best wishes!
It is uncommon to loose a nipple areola after a breast lift since blood supply is usually intact from these procedures. Risk factors for this complication include prior breast implant surgery or excessive tension on the closure which can compromise the blood flow. Could you provide additional details of your surgery or photos?
