Best Treatment for Necrotic Areolas, Nipples and Attached Scar?

I am sorry that you are having these difficulties, but this is the time when you follow closely with your surgeon and follow his/her instructions.

 

Fortunately nipple loss after breast reduction is uncommon, though for all surgeons in practice long enough, we know that the risk is a real one. I cannot recognize the scar pattern, vertical or 'T' from your photo, though we often debride conservatively when nipple loss occurs. We like a saline moist dressing until the degree of loss 'declares' itself and then clean the area and continue moist dressings until the wounds close. Often there is more recovery than what might be expected, and skin grafting and tattooing do indeed provide solutions to the problem. You will be in this for a long while with your surgeon.
Best of luck,
peterejohnsonmd