Nipple Reconstruction
Nipple reconstruction is performed as a separate surgery after the primary reconstructive breast surgery, such as flap or implant breast reconstruction, is complete. The reconstruction of the nipple and areola allows our plastic and reconstructive surgeons to create the most natural-looking breast reconstruction results possible.
The plastic and reconstructive surgeons at New York Plastic Surgical Group are experienced in a comprehensive range of breast procedures, including advanced reconstruction options. We are proud to provide the necessary support each patient needs in this next stage of recovery from mastectomy or injury while helping each individual determine the type of nipple reconstruction that is right for them.
What is Nipple and Areola Reconstruction?
Nipple and areola reconstruction is a plastic surgery procedure designed to restore the natural appearance of the nipple and the pigmented area surrounding it (areola) after breast surgery, such as a mastectomy.1 This can be achieved through surgical techniques or advanced 3D tattooing, creating a realistic, natural look. Often performed as the final step in the breast reconstruction process, nipple and areola reconstruction help patients regain a sense of wholeness and self-confidence.
Reconstruction Techniques for Nipple and Areola
We offer two primary surgical options for nipple reconstruction, as well as advanced nipple and areola 3D tattooing for patients seeking a non-surgical or final touch to their reconstructed breast.
Graft Nipple Reconstruction
In a graft nipple reconstruction, your plastic surgeon uses skin from a donor site to recreate the nipple on the reconstructed breast mound. For a single-breast mastectomy, the donor skin may come from the other nipple, while in double mastectomy cases, it may be sourced from areas such as the earlobe or labia. Donor tissue for the areola can be taken from multiple locations, including the scar of a flap reconstruction procedure, the inner thigh, or the buttock crease.
Flap Nipple Reconstruction
This technique uses a local skin flap adjacent to the new nipple placement site. Maintaining the original blood supply increases the success of the graft while reducing scarring around the reconstructed nipple and areola.
Your surgeon will discuss the benefits of each method and help you decide which option best suits your reconstruction procedure and body image goals.
How Is Nipple and Areola Reconstruction Performed?
Nipple and areola reconstruction is typically performed about three to six months after the first stage of breast reconstruction, depending on each individual patient’s timeline for a full recovery. At the initial consultation, the surgeon will discuss which of the two main approaches to nipple reconstruction will best fit each patient’s breast reconstruction treatment plan and other cosmetic surgery options available, as well as what can be expected from the recovery period.2
Nipple Tattooing
We are proud to offer advanced 3D nipple and areola tattooing, which represents the final step in the nipple reconstruction process. This non-surgical procedure creates a realistic and natural appearance using specialized tattooing techniques that complement your skin tone and color.
How Is Nipple Tattooing Performed?
Nipple and areola tattooing begins with applying local anesthesia, followed by tattooing performed by our licensed medical tattoo providers. For patients with bilateral reconstruction, we carefully match the color to preoperative photos or select pigments based on the donor skin used during grafting. This process often requires multiple sessions to ensure the best possible results.
We utilize cutting-edge shading and layering techniques to achieve a three-dimensional, projected look, even on a flat surface. Whether performed as part of a breast reconstruction surgery or for other personal reasons, 3D tattooing helps patients regain their sense of self-esteem and natural autonomy.
Preparing for a 3D Areola Tattoo Appointment
Proper preparation is essential for the best final results. Follow these steps to prepare for your appointment:
- Avoid saunas and tanning for one week before treatment.
- Refrain from using blood thinners or painkillers.
- Avoid working out or drinking alcohol on the day of your procedure.
- Ensure you are at least 12 weeks post-op with all wounds fully healed.
- Discontinue antibiotics for at least two months before treatment.
Common Reasons Patients Seek 3D Nipple and Areola Tattooing
Patients choose 3D nipple and areola tattooing for several deeply personal and transformative reasons:
- Post-Mastectomy Breast Reconstruction: Replacing the natural appearance of the nipple and areola after breast cancer treatment and mastectomy.
- Gender Affirmation for Transgender Individuals: Supporting physical and emotional transition for those undergoing top surgery or other gender-affirming procedures.
- Correction of Scarring or Asymmetry: Enhancing the appearance of the breast shape for those with scarring or reconstructed nipples.
Benefits of Nipple and Areola Tattooing
This final step in the reconstruction process offers patients more than improved physical appearance—it also provides emotional and psychological benefits. Key benefits include:
- Restoring the natural appearance of the breast and chest.
- Boosting self-confidence and emotional healing.
- Helping patients feel comfortable and authentic in their skin.
- Completing the reconstruction procedure or top surgery journey.
Why NYPS Group?
The plastic and reconstructive surgeons at NYPS Group are experts in every aspect of breast reconstruction, having performed more than 10,000 procedures, including all significant breast reconstruction techniques. Our surgeons are specialty-trained in a range of breast reconstruction treatments, and many of the doctors here at NYPS Group have been educated at some of the most respected medical institutions and cancer reconstruction centers in the world, including Memorial Sloan Kettering.
Ready for a Consultation?
Ready to learn more about your options for nipple and areola reconstruction? Please contact our team for more information on nipple reconstruction at our Long Island and Manhattan, New York-area practice. We look forward to helping you achieve natural-looking, confidence-restoring results.
FAQs About Nipple and Areola Reconstruction
What is the difference between surgical nipple reconstruction and 3D nipple tattooing?
Surgical nipple reconstruction involves creating a new nipple using grafting or flap techniques, often combined with skin taken from the patient’s body. This procedure provides a physical projection and shape to the reconstructed breast. 3D nipple tattooing, on the other hand, is a non-surgical option that uses shading and pigment layering to create the appearance of a nipple and areola on a flat surface. For many patients, tattooing is the final step in the reconstruction process, enhancing the natural look of the breast.
Does nipple and areola reconstruction hurt?
Most nipple and areola reconstruction procedures, including 3D tattooing, are performed under local anesthesia, making the experience comfortable for patients. Some mild discomfort or sensitivity may occur during the recovery period, but this typically resolves within a few days. Our team will provide detailed aftercare instructions to ensure the healing process is smooth and effective.
How do I find nipple and areola reconstruction near me?
If you are searching for nipple and areola reconstruction or nipple tattooing services in Long Island, NYC, or Manhattan, New York, or surrounding communities of Suffolk County, Garden City, Mineola, Nassau County, Huntington, East Hills, or Babylon, schedule a consultation at New York Plastic Surgical Group. Our experienced plastic surgeons and licensed medical tattoo providers specialize in advanced reconstruction techniques to help you achieve natural, confidence-boosting results. Contact us today to learn more about your options and create a personalized treatment plan.
1 Cleveland Clinic. Nipple Reconstruction. https://my.clevelandclinic.org/health/treatments/nipple-reconstruction. Accessed November 18, 2024.
2 BreastCancer.org. Nipple Reconstruction: What to Expect. Available: https://www.breastcancer.org/treatment/surgery/reconstruction/types/nipple/what-to-expect. Accessed November 18, 2024.
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