Hi. I've recently had a double mastectomy. I'm FTM transgender. I'm three weeks post op. The doctor cut 3cm wide nipples and put them into 2cm wide 'holes', as they were 'supposed to shrink'. Left one did, but right one only shrunk a little and then got 'droopy'. It'd bleed a little from the underside and some from around the actual nipple (brownish). Now, the upper part cracked and I think I can see my flesh underneath. I'm freaking out big time. My doctor is not seeing me until Monday. Help.
Is my Free Nipple Graft Failing? (photo)
Doctor Answers 9
Free nipple grafts
Nipple loss after FNG
It is hard to tell from your photo but is looks like some part of the graft didn't take. I would let your doctor know immediately so that they can make specific recommendations regarding care of the site. Even if you loose the nipple a new one can be made.
Nipple loss after FTM surgery with free nipple graft
From your photo, it does appear that you are losing most of your nipple graft. However, you may still retain enough tissue for a nipple areola. Right now, the important thing is to keep the area clean, and to use an antibiotic ointment. Please let your doctor know what is happening. If you do lose the nipple, a new one can be reconstructed much the way we create nipples for cancer reconstruction
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Please follow up with your PS
The best way to assess and give true advice would be an in-person exam.
Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.
best of luck!
Failed free nipple grafts
Hopefully, considering the date of your inquiry, you have already completed your reconstruction. My response may be of help to others looking at this question.
Free nipple grafts
Nipple Graft Viability
Thanks for the post and photo. It appears that you are having some compromise to your nipple and areola. The black area will eventually separate and you will either have an open wound or new formed skin. Either way, the results should not be affected too much and down the line, medical tattooing can restore the color to the areola as need be. I recommend that you follow your doctor's advice as far as any creams or wound care that needs to be done.
Nipple graft failing
It is difficult to say. However, even if it failed partially or completely, you can always get medical pigment tattooing, so don't worry. See your doctor. There is nothing to do at this time anyway.