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 his staff are great. Scheduling was very easy and all of my questions and concerns were very thoroughly answered. I was given several options for each concern and no pressure to schedule any procedure. I was encouraged to consider the option that works best for me and the price was much better than I expected. I had scar revision surgery on my stomach and I am very happy with the results and the recovery was exactly as described. Amy in the Medical Spa is also amazing and I wouldn't hesitate to recommend her to anyone. I will be going back to see her for additional spa services!"- C.M. / Yelp / Mar 28, 2018
"Amy is the Botox Queen. She has been taking care of me for years and I am never disappointed. Thank you Amy and wonderful staff!!!"- H.H. / Google / Mar 28, 2018
"Amy was spectacular! I am so pleased with my results. I have been to many Med Spas but this one is my favorite. I will continue to go to this spa for all my future needs. The receptionist was super friendly and Amy answered all my questions with such honesty. Not to mention she is a pro at her work. I will be back"- N.M. / Facebook / Mar 27, 2018
"Friendly staff and beautiful office. Amy is a pure delight!!"- L.N. / Facebook / Mar 27, 2018
"I, Mayra F. have used their service on several occasions and I'm more than satisfy with their professionalism and excellence service."- M.F. / Google / Mar 18, 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.