Nipple Areola Necrosis? (photo)

I'm sorry to see/hear about the complication you have experienced after breast reduction surgery. As you know, it will likely require several more weeks of dressing changes and minor debridement procedures before the wound has completely healed. As time goes on, you will notice that the tissues will look healthier ( with more red tissue and less yellow/brown tissue).

In the longer term, you may benefit from the nipple/areola reconstructive procedures. Patience will definitely be  necessary;  sometimes multiple “smaller” procedures are necessary to achieve the desired outcome.

Continue to follow-up with your plastic surgeon. Best wishes for a long-term outcome that you will be pleased with.

    The nipple areola necrosis you have should be examined to determine if anything further needs to be debrided.  At this point, the area will need to heal.  Then a revision can be contemplated after healing is complete.  You may be able to get to the result you seek, but it will take a little longer.

The picture demonstrates a significant wound with loss of the areola and fat necrosis. Healing will take a number of weeks because of the poor blood supply to the fat in the breast. Attentive wound care will be necessary for good result. The areola will probably have to be reconstructed secondarily.