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.
"He went out of hes way to make sure my procedure went the way it should have. I would def recommend them to anyone out there. I will def use down the road if need be Thanks!!!!"- C.L. / Facebook / Jan 11, 2020
"From the moment I walked into the office I was treated respectfully and professionally. This office had the best, kindest, most professional staff. The waiting room is very welcoming. The procedure I had was easy and the doctor and his staff did a wonderful job. I highly recommend this office."- K.S. / Google / Jan 07, 2020
"Beyond impressed! Had a minor surgery- excision of old mole/ scar tissue. The outcome was unbelievable. No scars! I was actually ok with some scar as it would be ideally linear and smaller than the original more noticeable circular scars. But literally can’t see a thing and it’s only one week post op. Not to mention the whole process was so fast and almost painless. No swelling, almost no pain after other than mild tenderness. He had good bedside manner but got to the point and was very efficient. Lovely office and support staff was super friendly. Best experience with a cosmetic procedure ever! I’ve never really been bothered to write reviews but since it was such a great experience had to leave one. Also shout out to the nurse who assisted and removed sutures- very personable young woman. I now can finally live my life without the burden of blemishes on my face that used to antagonize me."- L.P. / Google / Jan 03, 2020
"Dr. Mountcastle and his team are the best. A few months ago I had a small procedure done and my recovery was so fast. Thank you Dr. Mountcastle!"- X.Z. / Google / Dec 31, 2019
"I love Mountcastle Medical Spa! Everyone is so friendly and efficient. Amy is wonderful! Def recommend."- D.J. / Yelp / Dec 27, 2019
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.