Is my Nipple Tissue Dying After my Breast Lift /silicone Implants? (photo)

I agree there is some superficial loss to the areola, luckily these typically heal very well. It is important to be seen to make sure you dont have a hematoma that needs to be drained

The nipple and areola is obviously suffering after breast augmentation and mastopexy. The marginal blood supply has led to compromise of the structure. It appears though that there is enough remaining blood supply for full recovery. Keep in close contact with your plastic surgeon.

There is an old saying that things are always darkest just before the dawn.  In your case, the nipples look dark and discolored but they may well recover and do just fine.  At this point there is not a lot that can be done other than conservative treatment.  When everything heals then you can re-assess the situation.

   The pictures are not particularly telling and if necrosis was present on exam then it is probably superficial.  If the NACs looked good the first day that is also a good indicator that blood flow was not severely compromised.  Please do not smoke as this severely compromises circulation.  I would not freak out at this time, and be sure you follow up with your surgeon. 

Thank you for your question. Despite good intentions, online consultants will not be able to provide you (in any responsible fashion) with specific enough advise to be truly helpful. Given your concerns, you'll be best off seeking follow-up with your plastic surgeon, earlier that already scheduled if necessary, for in person evaluation.