I had DI top surgery 3 weeks ago, and the scab on my left nipple has been progressively peeling off and finished this afternoon, leaving a crater. It also tingles like crazy. I was wondering if this was okay/normal or if my nipple fell off? And if there's anything I can do for it. The right nipple is still scabbed but looks okay.
Answer: Post op question If you have any concerns as to whether or not your nipple is healing you should follow up closely with your plastic surgeon.
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Answer: Post op question If you have any concerns as to whether or not your nipple is healing you should follow up closely with your plastic surgeon.
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Answer: Nipple graft care The nipple graft healing depends on the blood supply from underneath. Commonly, the top layer sloughs off, with fresh tissue underneath. Follow your plastic surgeon's wound care instructions. In the healing phase short-term, I advise patients to keep the nipple grafts moisturized. For long term healing (up to a year after surgery), I strongly recommend sunscreen whenever the scars are exposed to prevent darkened scars.
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Answer: Nipple graft care The nipple graft healing depends on the blood supply from underneath. Commonly, the top layer sloughs off, with fresh tissue underneath. Follow your plastic surgeon's wound care instructions. In the healing phase short-term, I advise patients to keep the nipple grafts moisturized. For long term healing (up to a year after surgery), I strongly recommend sunscreen whenever the scars are exposed to prevent darkened scars.
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May 16, 2018
Answer: Nipple graft success In your photo it appears that there is tan nipple pigmentation and this suggests that your nipple graft has taken.
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May 16, 2018
Answer: Nipple graft success In your photo it appears that there is tan nipple pigmentation and this suggests that your nipple graft has taken.
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March 29, 2018
Answer: Nipple healing Hi, thanks for your pictures. Because a nipple areola graft is thicker than a regular skin graft it takes longer for a new blood supply to grow in. As a result, the top layer commonly 'dies', scabs or sloughs away, but the underlying layers heal. We usually leave any scabs in place and let the wound heal from underneath. In some cases the graft can fail, but there is often secondary scar that grows in which may look ok.
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March 29, 2018
Answer: Nipple healing Hi, thanks for your pictures. Because a nipple areola graft is thicker than a regular skin graft it takes longer for a new blood supply to grow in. As a result, the top layer commonly 'dies', scabs or sloughs away, but the underlying layers heal. We usually leave any scabs in place and let the wound heal from underneath. In some cases the graft can fail, but there is often secondary scar that grows in which may look ok.
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February 19, 2018
Answer: Nipple Graft Failure Hi cnt027,Thanks for the post and the photos. Based on your photos it looks like your nipple/areolar graft on the left did not take and will now need to be treated with wound care until new skin grow in. This is also likely to be the case for the right but it is too soon to tell as sometimes the NAC grafts do scab over and then the superficial scab comes off over a perfectly normal areola. I recommend you follow up with your surgeon for further recommendations. Congratulations on your surgery!Sincerely,Dr. Dadvand
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February 19, 2018
Answer: Nipple Graft Failure Hi cnt027,Thanks for the post and the photos. Based on your photos it looks like your nipple/areolar graft on the left did not take and will now need to be treated with wound care until new skin grow in. This is also likely to be the case for the right but it is too soon to tell as sometimes the NAC grafts do scab over and then the superficial scab comes off over a perfectly normal areola. I recommend you follow up with your surgeon for further recommendations. Congratulations on your surgery!Sincerely,Dr. Dadvand
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