Are these signs of necrosis? FTM top surgery post op (Photo)

Question

i am ftm and had top surgery on june 26. i am a smoker, about 5-10 cigs a day. i had quit on june 7, about 2 1/2 weeks before my procedure and i was told i could resume smoking 2 weeks after, 4 weeks to be safe. well i decided to after 2 weeks and have noticed some small grey spots on both nipples. i dont know if it is a conicidence and it is actually part of the healing process but i am scared i will lose my nipples. it is signs of necrosis?

Richard A. Bartlett, MD · Answer

Dear mateo9827.Thank you for your question. It does not appear that you have necrosis. However, I suggest that you follow up with your operating surgeon to address these concerns. Best of luck to you!

Babak Dadvand, MD · Answer

Hi,Thanks for the post and photos. It does not look like necrosis in the photos. It looks like the top layer of the areolar graft that has yet to shed off.  That being said, if you notice that it is getting dark or spreading, then contact your plastic surgeon.Sincerely,Dr. Dadvand

Raja Mohan, MD · Answer

To me, it does not appear that way. There is some crusting over the nipple. I recommend you follow up with your plastic surgeon closely to track the wound healing.
Hope this helps. Raja Mohan MD

Anthony J. Wilson, MD · Answer

Thank you for your question. At this point it is unlikely for you to get new necrosis of the nipples. It is difficult to discern what your concern is on the pictures. I recommend you reach out to your surgeon for a quick check up and reassurance. Best of luck!

Are these signs of necrosis? FTM top surgery post op (Photo)

Answers (4)

Answer: Unlikely to be necrosis

Answer: Unlikely to be necrosis

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Everything you need to know about Masculinizing Top Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.

Are these signs of necrosis? FTM top surgery post op (Photo)

Answers (4)

Answer: Unlikely to be necrosis

Answer: Unlikely to be necrosis

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Recommended reading

Everything you need to know about Masculinizing Top Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.