Are there any signs of necrosis after my breast uplift? (Photos)

Overall there are no major concerns with your breast healing. I agree with you that there are a few areas on the nipple that are dark - there may be some blood under the skin (a small hematoma), or there may be some delayed healing in that area.  I recommend use of a topical antibacterial ointment, and follow up with your surgeon. Your situation is not dangerous and as healing progresses I expect everything will settle down nicely.You mention you may not be able to see your surgeon again, the best course of events would be surgical follow up, however, if necessary you could repost your photos is a few days.All the best to you,Dr. Nancy de Kleer

You may have some superficial areas that might lead to necrosis, but I think you will heal fairly well. If need, send photos to your surgeon or be seen by a physician in your area.

I understand why you are worried but, from the photos, it really does look like a few small areas where blood has been trapped under the top layers of the skin (epidermis), rather than necrosis. This may result in some minor delay in wound healing but should not cause any significant problems. I am sure you will be fine.