Raised nipple grafts - should I ask for a revision surgery? (Photo)

Question

Hello! I had to surgery (DI with free nipple grafts) and I’m anxious about the way my nipples are healing. Both are very raised and puffy, whereas I see most grafts healing very flat on other men. I’ve been massaging them with Vaseline and scar ointment for a few days but haven’t seen much change. Im curious if this is normal or if I should ask about revision surgery?

Paul M. Steinwald, MD · Answer

. . . for resolution of edema and scarring. If there was any ischemia (scabbing due to poor blood flow) you may have a thicker scar with is a bit more difficult to treat, but almost always these can be flattened out via a peripheral (edge of "areola") scar revision under local anesthesia only at 6-12 months post-op to determine what you really need, and when scars have matured/settled enough.

Krishna Vyas, MD, PhD, MHS · Answer

It's understandable to feel anxious about the healing process after top / chest masculinization surgery. The appearance and healing of nipple grafts can vary greatly among individuals due to a variety of factors, including post-operative swelling, surgical technique, skin elasticity, etc. The healing of the nipple grafts can undergo changes that take several months (sometimes up to a year) for the final result to fully appear. 
It's not uncommon for nipple grafts to be raised or puffy during the initial healing phase. This is often due to swelling and can last for several weeks to months. The healing process for nipple grafts is gradual, and it can take time for them to flatten out.
Massaging the area and using ointments like Vaseline is a good way to support the healing process. You may not see immediate changes within just a few days or even weeks. Be patient and continue with your post-surgery care as instructed by your surgeon. 
Krishna Vyas, MD, PhD, MHSHarvard and Mayo Clinic Trained Aesthetic and Plastic SurgeonNew York, New York

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