Unexpected necrosis of nipple from 04/04 How long does this take to heal and how is it repaired? (Photo)

I am sorry you suffered this rare complication, it may take up to 6 months before the tissues are completely stable before a reconstructive procedure will be performed which will likely involve grafting tissue from another part of your body to create a nipple and areola

It is a post operative complication that could take months to heal. Than as few operations to remake the N/A complex...Sorry for your issues... 

I am not sure if you had a breast reduction or a breast lift with an augmentation.  In any event complete loss of the nipple and areola is an unusual but well reported risk of the procedure.  The blood vessels at the base of the breast are very predictable but as these vessels extend out to the nipple the pattern becomes more and more random.  Smoking is an know risk factor for this problem.  Unfortunately at this point all that can be done is to allow the wound to heal.  Once healed your areola and nipple can be reconstructed and your breast surgery can be revised.  

Sorry to read about the problems you are having. Unless you are a smoker, this is a rather uncommon complication. I can't tell from the narrative if you had a breast lift alone, or also got breast implants. This is even more uncommon if it resulted from a breast lift alone. It appears that there may still be some non-living tissue visible in the photos, and that will need further debridement (trimming). Once all the remaining tissue is clearly viable, your surgeon may consider dealing with the wound with a skin graft.  Then after a several months period, a second procedure to reconstruct a nipple and areola can be considered. Follow closely with your surgeon. My best wishes. 

It is so difficult to have this happen. Unfortunately, this is one of the worst risks of this surgery, the pedicle has inadequate blood supply to maintain the viability of the nipple and areola.  It is typical for the nipple areolae to be a little dusky in some people after surgery and by the next day the color improves because often a vasoconstrictive solution is used which limits blood loss during surgery.  At this point, it is a very long road to full healing.  You basically have to undergo debridement of all the tissue which is not receiving adequate blood supply to survive and this process is best done slowly so that you do not remove tissue which may survive in the long run.  Over the course of the next 3-6 weeks, blood supply will establish in the pedicle and eventually you will develop a vascularized tissue called granulation tissue.  Once this forms, you know that all the remaining tissue is going to survive.  After about 2 weeks with a healthy granulation tissue base, the open wound will suddenly contract down and close.  There is no way to speed the process.  After a year, the tissue will be soft and the scars will be barely visible and the breast may look very good.  Depending on how much of the pedicle died, you may need further surgery or possibly want to have an implant to achieve symmetry.  You will also have to have a nipple areolar reconstruction.  This is a very difficult problem for you in many ways but is a real risk of the surgery. Since the blood supply to the breast tissue which is left under the nipple areolar complex is different in everyone, there is no way to fully assure that this problem will not happen.  Try to be patient and just let your doctor treat you slowly over the next 3 months until it heals.  In a year, when all the scar tissue is broken down and remodeled, you will likely have a better looking breast than you can imagine now.  You may need further surgeries but there are solutions to the problem which is the most important thing to remember.