ADVANCED PERMANENT COSMETICS TRAINING
AREOLA REPIGMENTATION

What is areola repigmentation? Areola repigmentation is a tattooing process that is primarily 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 well healed, a tattoo artist who specializes in areola pigmentation, will tattoo a natural color onto the graft. The color chosen is usually to compliment the healthy breast. 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.

A tattoo machine, known also as a coil machine, is the preferred method for applying areola tattooing. A traditional tattoo machine is very efficient at implanting the color in the skin, and causes less trauma. An analogy would be a surgeon using a very sharp, precise scalpel to perform surgery, or cutting someone open with a butter knife. The scalpel was designed for the job at hand, and causes less trauma due to the extreme sharpness of the instrument. 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, however, was designed for this purpose, and is 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. Ask for referrals from former clients or physicians, and ask to see photos of the artist's work. If the artist is not able to provide this, then a search for another artist is in order. 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.