A 27 year old women who following the birth of second child had one very small breast (A cup) while the other is a (DD cup). She underwent refashioning of the right breast and had an implant to the left. Was left for one week following surgery. At this visit she had a completely necrotic nipple which was removed down to fat layers. Advice was sought then from the wound care services. The patient did not want any further surgery that was offered by the National Health Service (NHS) plastic surgery consultant. Through the use of photography it is shown how the donation of the silver within the wound bed prevented the bacteria from heavily colonizing the wound bed, but also led to health granulation forming at a rapid pace. Full healing was achieved in nine weeks. The treatment proved to be cost effective, prevent further surgery, and the scar formation coloring matched the other breast. The only treatment required was tattooing on the nipple area to give definition. Sensation was also still present in the area.

*Acticoat silver-coated antimicrobial barrier dressing (Smith & Nephew Inc., Largo, Fl.)