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Double mastectomy with free nipple grafts in 2014. Ever since had a white lump under one of the grafts. What is it? (Photos)

fcfgvhjMay 27, 2016
It doesn't hurt, doesn't itch, isn't inflamed or hot, but I'm still worried about it and would like to know what it is. I want to be sure this isn't an infection or something that needs prompt treatment, especially because I've ignored it for about two years. It has not changed at all/gotten worse throughout the years, which I think is a good sign. Thanks in advance everyone!

Answers (2)

From board-certified doctors and trusted medical professionals
Dr. Heather Richardson, MD, FACS
Board Certified General Surgeon
Answered on Aug 23, 2016
Answer
Dr. Tracy E. McCall, MD
Board Certified Plastic Surgeon
Answered on Jun 1, 2016
Answer

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Steven Wallach, MD

Sometimes the nipple dies from the very thin skin flaps that are left after a mastectomy. Sometimes it is only partial loss and treatment is conservative with local wound care. Other times the skin and nipple that clearly necrose are cut out and then reconstructed at a later date.

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Heather Richardson, MD, FACS

What you are experiencing is vasospasm in your nipple. It is related to the Raynaud's and is going to be made worse with exposure to cold and friction. Try to keep the tissue warm, as much as possible and you should avoid these symptoms. The blood pressure medicine Nifidepine has...

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Gerard Lambe, MBChB

Thanks you for your question and best of luck with your treatment.I performs many risk reducing mastectomies and I would tend to not perform a nipple preserving operation on someone with the degree of droop you have.You would be suitable to have reconstruction with implants and dermal sling,...

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