Abs bulge 5 months post diep flap on 1 side and loss of pigment post nipple sparing prophylactic mastectomy. Can this be fixed?
Doctor Answers 3
Uneven coloration after nipple sparing mastectomy
As far as the bulge is concerned, there may be redundancy of the tissues, but no hernia. Its hard to know if mesh would help strengthen this area. I would definitely give yourself more time for healing to occur as sometimes chronic swelling issues and fat necrosis can take up to a year to resolve. It sounds like your surgeon was concerned about poor blood flow issues to the nipple from the get go, because he/she performed a nipple delay to try to improve the blood flow before committing to the mastectomy. Does this doctor do a nipple delay for every patient? ...or just ones with smoking history, radiation history, vascular disease, or diabetes? Do you have medical issues that would make him or her concerned that the blood flow would suffer? If your doctor does a nipple delay on every patient, every time, I would be concerned that nipple loss and poor blood flow is something that they may see regularly. It sounds like the tissue loss and coloration change is because poor blood flow was the case after the mastectomy. Time is the best indicator of what can be done - in many cases the color can re-pigment on its own, in some cases, tattooing is needed.