I have two very small black spots on my nipple following my breast augmentation. I'd like a second opinion (Photo)

Based on your photograph, it appears that the dark areas represent simple bruising. The sensation changes you describe are quite common in this early after the procedure. Stay in close contact with your plastic surgeon. Best wishes.

Thank you for sharing your question and photograph. Though some small bruising is possible with an augmentation yours is in an uncommon location.  I would maintain close follow up with your surgeon while allowing your results to mature to see if the area clears on its own.  Hope this helps.

Dear amelia419,it is hard to tell without an examination. If you are concerned, I would suggest you to consult your plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery