Areola repigmentation is a tattooing process that is  done on breast cancer survivors who have had reconstructive surgery. In most cases, the surgeon will create a nipple and graft it onto the patient's breast. Once this is healed, an  artist who specializes in areola pigmentation, will tattoo a natural color onto the graft. In some cases, the surgeon will not create a nipple, and the tattoo can be done to simulate a 3-D nipple using artistic effects. Light and shade can create a look that is somewhat realistic from a distance. Some clients have inquired about having their natural healthy areolas darkened due to aging and the fading of the color through the years. This can be done, and is really no different than a traditional tattoo.Areola tattooing can be done on both women and men.

Some machines used in tattooing or permanent makeup today do not have the necessary power to implant color in scar tissue or thicker-skinned areas such as the breast. Because they do not have the necessary power, then the technician must go over and over the area, resulting in more swelling and trauma. The tattoo machine,  and some machines such as the Harmonix Digital Machine,  are  ideal for the procedure provided the technician or artist is experienced with this equipment. Always interview the technician or artist prior to having the work done. Areola tattooing is considered an "advanced" procedure, and should only be done by an experienced artist. Some of the best work is done by traditional tattoo artists who work part time for physicians. Try not to "judge a book by it's cover", if the artist is covered in traditional tattoo art. This may be the best artist around, and it shows that he/she takes the art seriously. Remember, any type of tattooing whether traditional or paramedical, is an art, not a science.

Pigments used in areola tattooing are normally iron oxide, and have a very low incidence of allergic reactions. Allergic reactions can also be brought on when tattooed areas are exposed to the sun, and of course this would not be an issue since clothing will normally cover the area.

Is the procedure painful? Usually not, as most women who have had reconstruction from breast cancer have no nerves in the area. If a natural breast areola is being tattooed simply to darken the color, then topical anesthetics can be applied prior to the procedure. Usually an hour beforehand is sufficient to numb the area.

There are some health issues that are contra-indications for tattooing. Those who suffer from auto-immune disorders, those who suffer from insulin dependent diabetes, those who are on strong blood thinners such as Comadin, those who are hemophiliacs, those who are on Accutane medication, those who are pregnant or nursing. If there is a question as to whether a client has a medical issue that would be a contra-indication, then it is suggested the client see their physician for approval.

It is important to note that all artists and technicians have their own suggestions and advice concerning aftercare once the procedure is completed. The following is generally recommended, however always follow the advice of the technician. No swimming in pools, rivers, or at the beach for 2 weeks. No suntanning or tanning beds for 2 weeks. Always wash hands prior to touching the area. Apply a thin coat of ointment that the artist recommends, several times a day, for the first 7 days. Wash the area twice a day with a mild soap, for the first 7 days. If you have problems, suspect an allergic reaction or infection, contact a physician immediately and also contact your artist or technician.

The following photos are work done by Terry Lively, and are copyright protected:

Client before tattooing	Client after tattooing
Close up of same client	Note that this client has the nipple constructed by the surgeon. Also note that the edges are softly shaded to fade into the skin, as a natural areola would look. Three different pigment colors were used to create light and shading effects, giving a more natural look.