What are the odds of nipple necrosis on 2nd breast surgery?

Nipple necrosis, the death of tissue in the nipple, is a rare but serious complication that can occur after breast surgery. The likelihood of nipple necrosis depends on various factors, including the type of surgery, the plastic surgeon's skill, the patient's overall health, and their individual risk factors.Some factors that may increase the risk of nipple necrosis include:1. Smoking: Smoking is a known risk factor for reduced blood flow and delayed wound healing. Individuals who smoke are generally at a higher risk of complications after surgery, including nipple necrosis.2. Medical conditions: Certain medical conditions, such as diabetes and vascular diseases, can affect blood circulation and increase the risk of complications.3. Type of surgery: The complexity and extent of the surgery can influence the risk. For example, breast reduction or reconstruction surgeries may pose a higher risk compared to less invasive procedures.4. Previous surgeries: If a patient has undergone multiple surgeries on the breasts, especially if there were complications in previous procedures, the risk may increase.5. Individual variation: Each person's body responds differently to surgery, and individual factors like genetics and overall health play a role in the healing process.It's important to discuss the potential risks and complications, including nipple necrosis, with your plastic surgeon before any breast surgery. Your plastic surgeon will assess your individual risk factors and take steps to minimize the likelihood of complications. If you have concerns or experience unusual symptoms after surgery, it's crucial to seek prompt medical attention. Consult with your healthcare provider for guidance based on your specific situation.

Hi and welcome to our forum!During the breast lift procedure, the overlying skin is separated from the underlying breast tissue and is redraped after removal of excess skin. The nipple areolar complex is not devascularized as there was no pedicle flap developed (as with breast reduction). 16 years have passed, allowing full revascularization of the skin and soft tissues. Breast reduction at this time should not be problematic. As there was no previous pedicle flap, one can be created, based in any direction (depending upon the anatomy). The blood supply to the remaining breast tissue should maintain nipple areolar viability. Best wishes...

Your surgeon is right there’s is an increased risk if nipple necrosis but it is still rather small. Much depends on how far the nipple needs to be moved snd the technique involved. You can always get a second opinion.