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.
"Dr. Mountcastle and staff were the Best! They have the best bed side manner and took for good of me. I would highly recommend this group. Thank you all!!!"- R.G. / Google / Dec 29, 2018
"Amy is knowledgeable, professional and fun!"- L.M. / Google / Dec 27, 2018
"Amazing!!! Back in September I decided to get a breast reduction surgery and after doing my research and talking to Dr. Mountcastle before when my husband had his surgery I knew he was the one. There are a lot of plastic surgeons out there but Dr. Mountcastle made me feel comfortable he is very nice, friendly and his work is amazing. He spent the time and explained everything about the process so I was able to understand the expectation of the overall procedure. Staff was amazing too! Before and after surgery they were very nice, friendly and helpful as well. They called and checked on me after surgery and any questions I had they called back in a promptly manner. I cannot be more happy with my results. He literally changed my life and I can’t thank him enough."- M.C. / Google / Dec 20, 2018
"I met Dr. Mountcastle over 6 months ago after diligent searching for someone to support me. Firstly, he is super focused, smart and passionate about his craft. What I like most about his team is that they were thoughtful, caring, and patient as I am a scaredy-cat when it comes to any procedure. Today was my big day and while I was so scared Dr. Mountcastle was patient with me and so very kind. I would HIGHLY recommend him. Lastly, I want to that’s Fredah, the scheduling Guru who worked with my busy schedule to make my procedures affordable and timely! Thanks you to the Mountcastle Team. I look forward to sharing this wonderful experience with my network!"- S.H. / Google / Nov 28, 2018
"The best in Northern VA - I've seen Dr. Mountcastle for various treatments over the past 6 years and have always had a wonderful experience with him and his staff. It's clear that he is a true expert in the field of plastic surgery. He and his staff explain everything and put you at ease before, during, and after the procedure. The onsite MedSpa is great too! I wouldn't consider ever seeing any other plastic surgeon."- C. / RealSelf / Nov 26, 2018
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.