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
"This is my second time getting my lip fillers done by Meredith, and I could not be any happier with the results. Meredith has always made me completely comfortable and at ease. She talked with me a lot beforehand about my decision on either Restylane Silk VS Juvederm XC. My first time I got the Restylane Silk done, which I loved. She made sure my lips were symmetrical and talked with me about the recovery. This time I decided to go with the Juvederm, and I am absolutely pleased. I have so much more volume now in my lips, and she did the shape exactly how I had hoped they would turn out. She made sure to take breaks in between injections; massaged my lips to even out areas. She sent me home with an ice pack. For anyone who feels as self conscious as I have always felt with my lips, or lack of lips I should say, I would highly consider going in for a consultation. Thank you again, Meredith, for making me feel comfortable and giving me the lips I've always dreamed of. Also, thank you to Maggie at the front desk for answering the questions I had beforehand, offering me a water bottle and giving me such a nice compliment before I left."- C.K. / Yelp / May 25, 2017
"My postpartum spider veins weren't so itsy bitsy! After much research and denial, I decided to give sclerotherapy and Mountcastle a try. The office has the ambiance of a "spa" with the professional staff of a medical/dermatological clinic (win-win). Ashley performed the 30min procedure while chatting with me and I was so at ease that I hadn't realized my legs looked like I'd slid into first base with shorts on!!! The post procedure instructions were provided both verbally and in writing. I diligently wore the compression stockings as instructed. I've noticed significant improvement to the worse veins and slight improvement to the least veins. I plan to follow-up for more treatments."- J.J. / Yelp / Apr 25, 2017
"Very professional, welcoming and well-run practice."- K.C. / Google / Mar 24, 2017
"This review only contains a rating"- C.S. / Google / Mar 23, 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.