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Medical tattooing of the nipple areolar complex is the best way to address this problem, which can occur after lift or reduction, or as a consequence of mastectomy.
Yes, the most effective way to darken the nipples after surgery is probably by tattoo. I would recommend consultations with both a reputable tattoo shop as well as a plastic surgeon experienced in nipple tattoos after breast reconstruction to see who you feel will be best able to provide the result you are looking for.
Acosmetic tattoo artist could improve the color issue you are having. Please check with your surgeon first to see when it would be best to start the tattoo.