Nipple Loss from Breast Reduction and Lift

The explanation of post operative nipple/areolar complex necrosis is a multi-factorial one. There are many factors that can cause this issue, or combination of them.
1. Surgical technique - removing too much inferior skin causing a 'too' tight vertical closure, leading to decreased arterial (oxygenated blood) to the area. Another technique issue is removal of too much of the pedicle.
2. Medical issues - Hypertension, diabetes (small arterial disease), collagen disorders, blood & bleeding disorders, pulmonary disorders.
3. Environmental issues - Smoking, vitamin use, aspirin use.
4. Post operative issues - dirty recovery area, second hand smoke reasons, poor post operative care. Infections & hematomas causing decreased blood flow to area.
Prevention is a the key. A good medical history, good surgical technique and preparation. excellent follow up care can help alleviate the risks of necrosis of the N/A complex.
Hope this was not too in detail.
From MIAMI

All surgical procedures carry some degree of risk. Any breast
operation can result in changes in sensation. This happens less with lifts than
reductions but is still possible. Occasionally, minor complications occur and do
not affect the surgical outcome. Major complications associated with this
procedure are rare. The suitability of the breast lift procedure and specific
risks may be determined during your consultation.

Although the risk of complete loss of nipple/areola tissue is very small,  this can happen even in the best of hands. Most well experienced board-certified plastic surgeons use every “trick” available to minimize the risks.

Patients should  avoid the use of nicotine in any form.

 As always, surgeon selection is critical.