Nipple Surviving After Necrosis, How Long Does It Take For The Nipple To Return To Its Normal Color?

Mastopexies with or without obvious areola necrosis can show some degree of pigmentary loss.  This discoloration can take up to six months to return to normal, if it is going to return to normal.If you were my patient, I would recommend medical tattooing that matches the uninjured areola color, and can not only fill in areolar color, but cover any scars visible at the junction of the elevated areola and breast skin.  At our surgery center, Jason Dias, CST routinely tattoos any areolar abnomalities not only for our patients, but for other plastic surgeon's patients as well. 

I'm sorry that you have experienced the complication;  on the other hand, you are quite fortunate that at least partial survival of the tissues has occurred. I would suggest that you wait approximately one year before evaluating the aesthetic results present and before determining the need for further treatment.  You may find that treatment is not needed.

Best wishes.

The purple coloration indicated poor circulation to the nipple and you are fortunate that the nipple survived. If the coloration is still a problem after six months, you could consider tattooing to match the color of the opposing breast.