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

Question

Hello, I had a breast lift at 30 years old in 2005: only a lift/ no implants and no breast tissue removal. Here we are 16 years later and I am scheduled for a breast reduction and lift. My surgeon from 2005 has retired and my records were destroyed in 2014. My new surgeon indicates that he will need to be conservative in his approach without know which blood vessels were tampered with. And could increase chance of nipple necrosis. Please advise of things to consider in my situation. TYVM

Ronald J. Edelson, MD · Answer

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.

Daniel Barrett, MD · Answer

Dear hopeful1x3,
your surgeon is right. Any revision surgery has more risks than primary surgery. However, the risk of nipple necrosis is low. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Ashley Thorburn, MD · Answer

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.

Som Kohanzadeh, MD · Answer

Hey! Your doctor is being very careful! Do your best to get expert opinion before starting surgery! See a Board Certified Plastic Surgeon and do your best to get those records from anywhere possible from old doctor. Those records are always saved somewhere such as the Cloud or Insurance company.

Jose A. Munoz, MD - Account Suspended · Answer

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...

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

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