Nipple and skin ischemia possible necrosis complication

So far there are no changes, except that the blisters popped and the skin is red there. I am inserting a picture for you guys to see it. I was told by my PS that is is ischemia and may resolve itself, I need to monitor to see if it gets worse. I also have redness, more pinkish skin on both sides where the alloderm is, my PS wasn't sure why so they changed my antibiotic to Bactrim. No changes there either. Supposedly it will take weeks for my black/purple spot to fade, peel. I really hope it wont get worse and I don't need that part to be removed, I feel for you Steph, we have already went through enough,

Special K, you've been so helpful since I got on this site, thanks for all of your advices, I ended up not needing chemo yay, at least thats good news. On the protein, ugh you're asking me the hardest. I barely eat meat or nuts, I don't know how to get 100g in me daily. I guess I'll find some protein shakes or bars at GNC even though those taste nasty. I do want to heal though. Isn't Arnica a cream? I used to use that for bruises, can they go together with my other cream? I actually have another question, the area where the alloderm is attached to my muscle, I have an indentation all the way across and it feels tight, like someone put a rope around me and pulled it tight. Is that indentation ever going to go away? I assume the tightness will subside with healing.

wow looks similar to mine, except mine is bigger. Is that line under it your incision site? So are they removing it at the same time as the TDAP or are you going to wait to see what happens to it?

Steph, I just got back from my checkup and they said they have seen much worse ischemia coming back without a scar so they were not alarmed by it at all. Did they give you nitro cream to put on it? I use that every morning and night, I don't see much change, I would wait if I were you. I'm the kind of person who never gives up unless I absolutely have to. The less scar I see the happier I'll be. My PS said it could take 8 weeks for it to heal. I wish there was some miracle pill that could accelerate healing. Good luck with your surgery, I hope all goes well for you.

Hi Steph, I'm sorry to hear they couldn't do the TDAP. I hope you heal quickly :-) My ischemia is looking much better. My PS told me to put zink oxide on it every day. All the dark skin peeled off and I have new pink skin in most areas. I have a few deeper spots where I have a scab but I'm sure that will eventually heal as well. I wonder if the pink skin will turn darker where my areola is, if not I will have to do tattoo but thats not a big deal. On my other side I didn't have any issues except the tip of the nipple was black. It felt different from the ischemic area, the skin was rough and crusty. I left it alone, never put anything on it and just the other day the black skin just fell off all in one piece and I have my normal looking nipple showing from underneath. I will be getting my first fill next week as well. I am scared as I still feel tight and the TE feel rock hard. My skin is so sensitive over my TEs that anything touches my skin hurts. Its like sandpaper or having a bad sunburn. I hope that will go away soon. I may ask the PS to wait another week with the fill if it doesn't improve. I am also working 5-6 hours starting today so I'm a little nervous, I hope I can do it;-) Thanks for thinking of me, good luck with the fill!

What laxatives is she taking? The pain is normal, some women have to take narcotics for 3-5 weeks around the clock before the pain eases. I am more concerned about her not having a bowel movement. That could lead to serious complications. There is an over the counter glycerin suppositories you can get her that will make her go within 10-20 min. For me it worked in 2 min but the longer she is able to hold it in the more productive it is. I took stool softeners twice a day while I was on narcotics. Is her ischemia black or dark purple?

I'm sorry to hear that. I hope the infection can be treated with antibiotics and she doesn't need further surgery. Sometimes it takes weeks for her skin to heal, other times it has to be cut out. I was given Nitro-Bid ointment to bring blood to the area, it gave me headaches so a week later we started using antibiotic ointment twice a day and switched to zink oxide after the dark skin peeled. If it doesn't improve and insurance covers it, she could ask for hyperbaric oxygen therapy.

Hi Steph, thanks for checking on me:) Mine healed as well, my skin is still pink and part of my areola is now a lighter color. They said the pigmentation may or may not come back. It takes 6-12 months and if it doesn't come back, I have to get it tattooed. Ouch!I am also doing expansions every week, so far I had a 100cc put in twice. The first time I had very little pain but the second time I was in a lot of pain for the first day or two and took Vicodin around the clock. Friday is my next apm and I'm so scared. I may have to reduce the fill to 50cc how big is your TE? Mine holds 500cc. I can't wait to be done with them.