During a mastectomy or breast reconstruction procedure, the nipple and areola may need to be removed. Once the patient’s breast reconstruction is complete, plastic surgeon Dr. Timothy Mountcastle offers nipple and areola reconstruction with cosmetic tattooing that can recreate the appearance of the nipple and areola on the breast(s). At Mountcastle Plastic Surgery in Northern Virginia, Dr. Mountcastle uses a variety of pigments to tattoo the most realistic nipple and areola. When tattooing only one nipple, Dr. Mountcastle matches the remaining nipple as best he can. If both nipples are being tattooed, an image of the breasts before the mastectomy can help Dr. Mountcastle get the best results. To see some of Dr. Mountcastle’s work in nipple reconstruction, you can visit the Breast Reconstruction section of the Photo Gallery.
"This review only contains a rating"- S.A. / Google / Aug 24, 2016
"Very professional and skilled. No wait for us. Office staff knowledgeable and welcoming. Definitely worth the drive for us."- D.J. / Google / Mar 10, 2017
"Highly recommend this place, Dr Mountcastle and his team members are very knowledgeables."- H.H. / Google / Mar 08, 2017
"This review is for the IPL-BBL treatment for age spots. In past years, I have wasted many thousands of dollars on IPL (non-BBL), microdermabrasions, chemical peels, facials, and products to treat dark spots that started showing up in my mid-fifties. IPL-BBL from Mountcastle is the only one that has made a huge improvement for me. After treatment, many of the spots turned almost black before they healed, and I was warned that this would happen. After my first treatment, it took about a week to completely heal and see the full results, and they were amazing. I had one blotch that was so deep it felt leathery. Although the blotch still exists, it is lighter and smaller and no longer feels or looks like leather. I purchased four treatments and I had my second treatment yesterday. I can see many spots turning dark now, so I know they will heal and look better next week. Many of the spots on my face have completely disappeared. I don't expect to be spot-free after this second treatment, but I am getting there. If all continues to go as remarkably as I expect, I plan on doing my hands next. Ragan was my aesthetist. She is excellent. She answered all my questions and she suggested some products to use at home. She used an IPL machine that has a cooling feature, a real plus. I felt a hot snap and an instant cooling at each spot. It wasn't painful enough to make me jump and it's well worth the results. I have one minor complaint: They don't always answer the phone or return calls promptly."- M.M. / Yelp / Mar 08, 2017
"Wonderful Experience. Very easy to schedule appointment. Staff very nice. Ragan was great - very knowledgeable. Beautiful and clean facility. Would highly recommend."- S.Z. / Yelp / Mar 08, 2017
Areola Tattoo Procedure@headingTag>
Nipple and areola tattooing can be performed in the doctor’s minor procedure room with local or no anesthesia. Without anesthesia, patients usually only feel the light prick of the tattoo needle. The doctor will carefully mix tattoo pigments to create the best shade and then the pigments will be added to the tattooing instrument for use. It usually takes about 15 minutes for one nipple, but more or less time may be needed depending on the detail the patient wants.
What to Expect@headingTag>
After the tattoo procedure, the treated area will be cleaned, then covered in ointment and surgical dressings. In the first days after the procedure, the area will emit a mixture of blood and ink into the gauze pads, which should be changed often. Once the tattoo scab comes off, you will be able to see the results of your new nipple(s) and areola(s). It may take more than one tattooing session to get your ideal coloring.
Plan Your Procedure
Areola Tattoo FAQs@headingTag>
3D Nipple Tattoos?@headingTag>
Thanks to advances in medical and tattooing technology, patients are able to get more realistic nipple tattoos. 3D nipple tattoos use a special technique of several pigment colors to shade and highlight the nipple so it appears to have projection from the breast. While the nipple tattoo will actually be flat, the goal is to make is look like it is 3-dimensional, like a natural nipple.
Does It Hurt?@headingTag>
Getting a nipple tattoo is generally no more painful than getting a tattoo anywhere else on the body, so many patients do not need anesthesia. However, local anesthesia and numbing cream are available to make your procedure more comfortable.
After the tattoo procedure, you should be careful to keep the tattoo clean and saturated with ointment. Gauze dressings should be changed often (every 2 – 3 hours) in the first days after the procedure. The ink and blood mixture may stain your clothing; so do not wear anything you love. The tattoo will appear very dark at first, but as the tattoo heals, the color will lighten.