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 couldn’t ask for the best doctor and surgeon to have. Dr. Mountcastle and his team are the best. I recently have procedure done and not only my recovery was so fast, I hardly have any bruising, just a small area where the incision was. Thank you Dr. Mountcastle!"- C.K. / Google / Oct 31, 2019
"I had a breast reduction a couple weeks ago. The staff was really sweet and great at explaining everything. Dr. Mountcastle was very professional and clear about it all. So far, the procedure I had done went as expected, I'm very satisfied. My experience has been a very positive one."- L.W. / Google / Oct 30, 2019
"It was my first time to visit Dr. Mountcastle for a consult. First, his staff is professional, genuine and friendly. Dr. Mountcastle is knowledgeable, professional and honest. He doesn’t candy-coat, gives you all scenarios and suggests you take time to think over what you discussed, and make an educated, informed decision before jumping into anything. I have complete confidence that I found the right doctor to perform my procedure."- B.M. / Google / Oct 30, 2019
"Nicely surprised at how quick an painless my procedure went.Thanks to all involved for a great job.Bill"- B.G. / Google / Oct 29, 2019
"Dr Mountcastle is an amazing doctor and the staff is very friendly"- M.J. / Google / Oct 26, 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.