52 Yo Mother and Teacher, 5ft Tall, Tri-Care, 38M and Not sure of my target size after the reduction - Macon, GA

It was a pleasant visit. The doctor thought things looked good. I did not bring up the nipple measurements because I haven't decided what I think of the width. Everything is so symmetrical and I may like the wide placement.

I pointed out the small hole and he checked it out right away. He said it was a stitch. He opened it up a little and dug it out. It didn't really hurt. He put bandaids on the small wounds and told me to do that at home too. I go back in a month.

There does not seem to be any significant swelling or bruising though there is a slight shadow a bout the size of my palm on the medial side of the right one. There are still a few small scabs around both areola. Both nipples have sensation but there are numb spots on both areola, more on the left.

The incisions on the breasts are flat and mostly sealed. They have small areas with something white on them. The wound under my right breast where the tape left blisters is healing slowly. It has two areas that are still open and oozing. 70% of the original wound is closed with shallow red scarring that should fade. The incisions under the breast have some spots that are red and open but most of it has flattened though some ropiness can be felt under the skin. In places there is still a lot of red along either side of the incision. The drain sites have scabs and the left one is sore and a bit swollen. The medial ends of the incisions, between the breasts are still raised. On the right there is a small hole about 2mm that is not oozing or scabbed.

The shape is still quite boxy though some settling has started. The shape on the right is a bit distorted and it seems like the seam wasn't cut evenly so instead of a smooth curve it dips in to the shape of the breast. Perhaps the skin tore a little and had to be sewn up that way. I think it will stretch out and be OK in time.

Nipple placement seems odd. They seem very high and wide. Googling for NIH standards brings up lots of articles and mathematical formulas. To sum up the nipples a d sternal notch should form something close to an equilateral triangle and normal measurements should be about 20 cm, give or take a bit, and with some adjustments for body type and frame size.

I am very short and heavy but most of my weight is in my legs and since menopause my belly. My belly is not wide, it goes straight out. My nipples are both 20cm from my sternal notch and 28cm apart. They appear to be equal distance from my medial line, but this is harder to measure on myself.

Although the width is pretty far off the other measurements are right on. They seem high to me only because I am so used to them being so low. The headlights definitely are pointing out but they are doing it symmetrically, which is a first for me.

Tomorrow I see the surgeon and I will add anything useful I learn.

I've had trouble finding wound care products that don't irritate my incisions. Even things I use all the time, like bandaids, irritate the incisions and skin near the incisions. I was able to find plain cotton gauze squares, like the ones in doctor's offices on Amizon, and they arrived today. I also found a new antiseptic product made by Neosporin. It has Benzalkonium chloride, and the innert ingredients all seem to be OK so far. For some reason petrolatum gives me hives and it is in almost every wound care product.

I still have the gel the Doctor recommended but this new stuff kills bacteria and I feel better having that option.