Why are my areola and nipples peeling after my double mastectomy?

After nipple and skin sparing mastectomy and reconstruction it is not uncommon to have healing problems.  The skin has most of its blood supply removed so sometimes areas of the skin do not survive.  The nipple is especially prone to this.What you are describing sounds like the skin and nipple blood supply has been compromised, however given you are now a month post op most likely things will be ok.  I advise you to see your PS to check on your healing though as there is a risk of skin necrosis (death) and this can lead to infection.It may just be an allergy in which case putting nothing other than vaseline or sorbolene on the breast is a good idea - your PS can advise you regarding this too.Kind regards,Dean

After a nipple sparing mastectomy, the nipple/areolar skin typically suffers form poor blood flow to the area and it is possible to loose some superficial portion of skin.  As long as it is not all the skin that is lost, the area should go on to heal with possible pigmentation loss.  Continue the antiboitic ointments and close follow up with your surgeon.  

Sounds like a superficial second degree sloughing of the area. Best to see your PS to advise. /////////