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.  

Hello!  Thank you for your question!  It would be recommended to see your surgeon for this issue for evaluation.  After a nipple-sparing mastectomy, there is a risk of necrosis of that area.  If so, your surgeon will direct you for wound care.  Or, if it is a reaction or just dry areas, your surgeon will be able to examine and determine the cause and give further recommendations.  Best wishes!

Peeling is healing! More than likely there was temporary injury to the nipple and areola that is resolving. It's common for the skin to become flaky in this setting, but this should not be a permanent issue. If you have a cancer diagnosis and were on hormones that have been stopped and/or placed on hormone blocking medicines, the drop in hormones can affect how your natural oils keep moisture in your skin. 

Peeling and scalyness of the nipple and areola - and sometimes the entire breast skin occurs with injury and compromise to the blood supply. This can occur after surgery as well as radiation. Your reaction may be compounded by an allergic reaction. As long as the nipple doesn't turn black and /or tissue doesn't slough off, it should heal with time. Hydrating ointments like you are using will help. Aquaphor is helpful. Consult your plastic surgeon for additional suggestions. Cortisone is helpful with allergic reactions. There are lotions that actually dilate blood vessels and may improve the healing. Good luck and take care.