What Do I Need to Consider when Having the Areola Tattooed?

After skin sparing mastectomy with nipple reconstruction and tram flap procedure, my entire areolar complex was sacrificed. The original tatoo from three years ago has faded and become mottled. My surgeon no longer offers tatooing in his practice and has no recommendations.

Doctor Answers 3

Nipple-Areola Tattoo After Mastectomy

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It is not uncommon for a nipple/areola tattoo to fade with time aftera breast reconstruction.  Alot of women need to have a touch-up tattoo every few years to maintain the color, shape, etc.  If your surgeon no longer performs this procedure, I recommend going to the american society of plastic surgery website ( plasticsurgery.org) and finding a board certified plastic surgeon in your area that id very comfortable with breast reconstruction and niple/areola tattooing.  I hope this helps.

Areola Tattooing

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It is very common to require 2-3 applications to get an appropriate result with areola tattooing.      If tattooing does not give you the result you desire, you may be a candidate for a full thicknesss skin graft from a pigmented area to provide a nicer result.   The downside to this is the risk associated with a donor site scar and whether the skin graft will take.    I wish you a safe and healthy recovery.

Paul S. Gill, MD
Houston Plastic Surgeon

Breast Reconstruction

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You should find a person, preferably a nurse who specializes in this and seek them out.  Find a Board Certified Plastic Surgeon in the area and see if they know of someone who can do this service.

Vivek Bansal, MD
Danville Plastic Surgeon
4.9 out of 5 stars 26 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.