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This is not unusual. This will likely improve over time. You're going to go through many phases in healing like bruising, swelling, and firmness. Be sure to follow up with your doctor.
Discoloration after surgery is common. This usually heals very well in time. It is usually cause by reduced blood flow to the area, again common.
Four days is too early to be concerned about your surgical result. It is likely to be bruising. Notify your surgeon but this does not appear to be an indication of any problem.
Changes in nipple or areola color after gynecomastia surgery can occur due to various factors, such as swelling, bruising, or changes in blood flow. It’s not uncommon for these changes to be temporary and resolved as the healing process progresses. However, if you’re concerned about persistent or unusual changes, it’s advisable to consult with your surgeon for recommendations based on your specific situation.
Hi,Thanks for the post and photo. At 4 days you are very early in the recovery. It is not uncommon for there to be color changes or bruising in the early period. The only possible issue could be a blood supply one and that is very unusual in the approach that you had. If the nipple or areola continues to become black however you should seek attention from your plastic surgeon.Sincerely,Dr. Dadvand