Directly after surgery I had a black areola/nipple complex. My PS mechanically debrided. Seeing a wound doc and using santyl. I have a large deep wound but some areas on the sides have good blood supply. The wound doc initially said it could close on its own but now we have found more necrosis further underneath. He now says surgery may be required. He also suggested hyperbariac chamber. Can I let it close up around fat necrosis or should it come out. Rash also under both breasts.
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Answers (3)
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November 10, 2018
Answer: wound management for nipple necrosis after breast reduction depends on the problem.
Is the junction of the vertical and horizontal incisions. What you have is common and it will heal with good wound care. Continue to follow the instructions of your surgeon and this will be a distant memory.
The incisions seem to be healing well. The scabs will come off with time after showering. Keeping them clean and dry in my opinion is better although some mild moisturizer does help to soften the scabs and have them come off.
In my own practice the average weight loss after reduction is an additional 14 pounds. removal of the excess weight on the chest allowed the patients to get more active.
