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.
"I had a great experience!! The entire staff was friendly and very efficient. I was offered treatment on the same day of my first appointment. It worked out perfect for me since it’s hard for me to take time off from work. Dr Mountcastle was great and did a wonderful job!!I highly recommend him !!Ana"- A.A. / Google / Jan 01, 2018
"A skilled caring professional staff headed by a top flight surgeon adds up to London county's best Plastic Surgery & Venous medical practice!"- R.F. / Google / Jan 01, 2018
"I have gone to many med spas and this place is the best. The lobby and ambience are so nice and relaxing. The receptionist was very friendly and Amy answered every question I had and explained all the procedures I was interested in getting. I got 20 units of Botox and other places I have gone to, have always up-sold me and I hated the results (that surprised/Joker look). Amy assured me I would still have expression but look smoother. I had minimal bruising and actually went shopping after receiving Botox and Juvederm. Amy is a pro and I will definitely be back!"- A.L. / Yelp / Dec 26, 2017
"Amazing! My first time ever getting Botox and I was pretty nervous at first and it is the best thing I could have ever done. I have also now moved on to laser hair removal and it is so worth it! Defiantly recommend mount castle medi spa to everyone. The staff is even more wonderful then the treatments! :)"- A.M. / Yelp / Dec 22, 2017
"Incredibly friendly and professional staff. Sincere empathy and desire to help. Dr. Mountcastle is an elite surgeon and makes you feel comfortable and safe."- G.G. / Google / Dec 18, 2017
Areola Tattoo Procedure
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
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
3D Nipple Tattoos?
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?
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.