Is my Nipple Dying After Breast Reduction? (photo)

Thank you for the question and picture.

Based on the picture and a description,  it seems very likely that there have been blood flow ( arterial and/or venous)  problems to the nipple/areola. How severe the problem is will be best determined by your plastic surgeon who can examine you in person.

Hopefully, the problem involves a superficial skin (epidermis)  and is not full thickness. if so, the dark layer will separate and the underlying tissue will be healthy.  If the problem is more severe than full thickness skin loss may occur.

Since you are 10 days out of your surgery there is probably no intervention that will be helpful at this point.

I would suggest continued follow-up with your plastic surgeon who is best served to answer your questions and get you through this stressful period.

Best wishes.

The photo suggests that at least the superficial layer is being shed which may be from a decrease in blood flow.  It is difficult to assess how deep and how much of the skin is affected.  You will certainly want to keep this area clean and moist.  Your doctor should see you to evaluate and make recommendations for wound care to optimize the healing of this area.