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Is there still hope for partially black nipple to survive? (photos)

B
BlondgirlJan 21, 2015

I am 2wks post op from nipple sparing PBM (BRCA1 carrier) with expanders. One mo prior, I had a nipple delay and my left nipple developed scar tissue underneath. My surgeon said no issue, but after the mastectomy that nipple was black and raised/misshapen. After two days, some color did return around the edges, but I have seen no further progress. I am using nitro glycerin and silver sulfadiazine creams to help. What else can i do? Will my nipple recover? How long should I give it to improve?

Answers (3)

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Dr. Aisha McKnight Baron, MD
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Dr. Aisha McKnight Baron, MD
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Answered on Jan 26, 2015
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Dr. Andrew Kornstein, MD, FACS
Dr. Andrew Kornstein, MD, FACS
Board Certified Plastic Surgeon
Answered on Jan 26, 2015
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Dr. Anh Lee, MD, FACS
Dr. Anh Lee, MD, FACS
Board Certified Plastic Surgeon
Answered on Jan 21, 2015
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Raffy Karamanoukian, MD, FACS

Variations of the TRAM flap can use the Rectus muscles or not.  Depending on the type that you had, you may have a loss of one, two, or neither of your muscles. Check with your surgeon. Best, Dr. Karamanoukian

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Joel Patrick Maier, MD

What you are describing sounds like Axillary web syndrome or cording. It is thought to be an inflammatory reaction to connective tissue from the trauma of surgery. Fortunately, it is a self-limiting process that resolves in a matter of months. In the meanwhile, you should have a referral to...

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Allen Gabriel, MD, FACS

Thank you for your question.  If this is a nipple sparing mastectomy then in my opinion, the shadow is most likely where the mastectomy stopped and you have some fullness in that area.  It's diffcult to assess without knowing the background on the type of surgery that you have had. I...

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