After breast augmentation, her areolas appeared too small for her new larger breasts. We fixed that issue with tattooing. Now her breasts appear much more balanced.
Fresh tattoos pictured here. Blanched skin and reddened tattoo color is from the numbing gel epinephrine. This will soften as it heals and be a long lasting lovely tattoo.
Left breast physician office correction and right breast areola pigmentation for symmetry.
HEALED RESULTS 2 passes. 10 weeks apart.
Fresh areola tattoos will become less red as they heal.
Areolas, 2 visits, 10 weeks apart
Shape and symmetry correction with a deepening of color. Will look beautiful for years.
Fresh, red, tattoos shown here. Goal to correct shape and size asymmetry . Next step is to blend color. 2 to 3 step process 10 weeks between appointments
#MASTECTOMYTATTOOS shown here after detail 3D touch up and slight enlargement of left tattoo, right is done after one sitting so no additional #areolatattoo required. She has a left #implant based #breastreconstruction and #areolatattoo on right native #NAC for symmetry. She originally had an offset #nipplereconstruction and an extremely faded #physician office #nippletattoo that became more displaced after a surgical revision. I suggested she have it excised by her #breastsurgeon and I do a #3Dnippletattoo so , that became our plan.😉🤗 (You can see the incision where the reconstructed #nipple was removed) I also implanted ink on the 1st visit to her natural areola as she wanted it darkened and it to match as the end result since her previous tattoo never did. She was referred to me by her oncologist in Cincinnati, Ohio after seeing my work come into his office 💗 #physicianreferred
Bilateral #areolatattoos done early March after #mastopexy procedure. These are fresh and will heal much less red than pictured here. She wanted a darker color to help round out the shape and help make them appear smaller which will be complete after she plans on decorative tattooing around the perimeter of each areola to camouflage the rest of the tissue. #areolarestorativetattooing
After top surgery/ breast augmentation, this patient wanted larger and darker areolas for proportion.
Gorgeous areola enlargement on top surgery. Soft and natural
After an augmentation and mastopexy, this client completely lost her right nipple which healed in by secondary intention and had nipple reconstruction. This fragile tissue requires a delicate approach to recreate a realistic NAC. Her left areola has some color but also encountered wound healing issues and needed more defined edges and deeper color. This is a fresh tattoo shown and redness will subside. This is the 1st of a multi-stage process.
Looks so good!
Male #areolatattoos after #gynecomastia surgery. This helps cover hypopigmented scar tissue and balance shape and size. Fresh tattoos shown immediately after procedure.
After breast reduction her right areola was lost and she underwent a grafting procedure. She came to me for 3D nipple tattooing on the right and enlargement on the left to match shape and size of graft. These are fresh and reddish. It will heal to desired color and she will return for more details to be added.
You can see the areolas are now evenly balanced and just need color added to a few places. This was done at touch up.
Added color to some isolated areas and blended shading.
After combined breast augmentation and mastopexy, this client had nipple areola necrosis. Followed by surgical #nipplereconstruction on her left breast. Her NAC is restored here with #nippletattooing shown fresh in this photo. She will return later for more color to be added. (White areas are from covering while in tanning bed)
Side view
He sought out restorative tattooing after his gynecomastia surgery. His left #areola had significant scarring, no nipple projection and was larger than the smaller right side. The right needed enlargement for symmetry. Tattoos are fresh and reddened due to tattooing process and anesthetic. He will return for additional color at top off.
After breast reduction surgery, this patient had partial areola loss. Areola restorative tattooing is a beautiful way to achieve a natural appearance to the breast again without further surgical procedures. These are fresh tattoos that will soften as they heal. She will return for touch up.
Fresh #3Dnippletattoos after #breastreduction complication with #nipple loss and #areola #skingrafts She's gone many years without her nipple areola complex #nac , and is overjoyed to have it back. Now a natural appearance to the #breasts has been restored. I'm so glad she chose me. 💞 Referred by a friend.
After breast reduction surgery she lost her nipple/areola and required skin grafts to close the wound. This is 2 sessions, healed results!
#areolarestorativetattooing is shown in this case to help correct areola pigmentation loss due to vitiligo on her left breast. Vitiligo should be stable and this procedure requires a physician note of clearance. Tattooing is confined only to the nipple areola complex area and even then, tattooing can trigger vitiligo to worsen or spread. This is a risk that must be accepted prior to proceeding. This patient had 2 previous tattoo sessions by a local cosmetic tattooer that faded a good amount and decided to come to me for help. She will return for touch up later.
No touch up needed! 🧚♀️#areolarestorativetattooing is shown in this case to help correct areola pigmentation loss due to vitiligo on her left breast. This patient had 2 previous tattoo sessions by a local cosmetic tattooer that faded a good amount and decided to come to me for help. This shows results healed in just one session using long lasting body art tattoo ink. Now she has a good balanced appearance the previous cosmetic tattooer was unable to provide 🥰
#areolarestorativetattooing is shown in this case to help correct areola pigmentation loss due to vitiligo on her left breast. This patient had 2 previous tattoo sessions by a local cosmetic tattooer that faded a good amount and decided to come to me for help. This shows results healed in just one session using long lasting body art tattoo ink. Now she has a good balanced appearance the previous cosmetic tattooer was unable to provide 🥰 Vitiligo should be stable and this procedure requires a physician note of clearance. Tattooing is confined only to the nipple areola complex area and even then, tattooing can trigger vitiligo to worsen or spread. This is a risk that must be accepted prior to proceeding.
This incredibly sweet woman lost her #nippleareolacomplex after a #breastreduction surgery. She had necrosis and subsequent debridements with the area healing in by secondary intention. This extremely fragile skin must be handled delicately with each stage in the multi-stage process. This shows after #touchuptattoo
She has made such progress 👏 we will see if she needs any further sessions. Looks great now!
She had a bilateral breast reduction in 2018, leaving her with unevenly sized and shaped areolas. This was adjusted with restorative tattooing. She will return for 1 or possibly 2 more sessions.
This is the 1st session freshly completed to restore both the lost areolas and nipple protrusions. She will need 1 or 2 more sessions.
This sweet woman had necrosis and subsequent debridements after explant/pexy leading to loss of her right NAC and some of her left. Prior to her surgery she had cosmetic tattooing of her areolas, which is the dark pink color. She attempted laser removal which didn't work well. Her native areola retained pieces are brown. The white is scar. This is a multi-stage restoration process that takes time.
#MASTECTOMYTATTOOS shown freshly done on unilateral #diepflapreconstruction with surgically created #nipplereconstruction 🎀 by Midwest Breast 💓Her native left areola is so light, we decided it best to tattoo it as well for a good color match to her reconstruction on the right. She did great and will return later for top off.
after touch up on reconstruction side only. Areola healed from 1st session
after touch up on reconstruction side, the areola side is totally healed from 1st session.
Nipple loss after reduction mammaplasty. This is the 1st step of a multi-stage process. She'll return for touch up.
#MASTECTOMYTATTOOS shown here freshly done on bliateral implant based #breastreconstruction 🎀 The redness will subside as they heal and she'll be back for touch up later. 🧚♀️ This is a great example of how the aesthetic outcome of a #nipplesparingmastectomy can be improved with #areolarestorativetattooing ❤ She was unhappy with the difference in :
shape (one round, one not)
size (right larger than left)
placement (right ok, left is high and too lateral)
lack of color (healed too pale for her liking)
and presence of scars.
She is thrilled with the improvements so far and is much happier with her breast reconstruction overall. She is so happy her reconstructive surgeon recommended me to help 💓
🎨 This is the 1st step of a multi-stage restoration process.
💫Many times after #nipplesparingmastectomies :
The #nippleareolacomplex (NAC) will be offset/ have asymmetrical placement (this can be improved somewhat but limited to the localized area. 👉 If your nipples remain ⬇️ too low, this cannot be helped with tattooing, you'll need additional surgery…or, the NAC may have to remain low but can be improved on shape and size only. 📝 Note this really depends on if your skin envelope can accommodate a change in placement…without sacrificing your breast shape and size overall. I've personally seen this *attempted* to be fixed with full thickness skin grafts as well.
The NACs will be uneven in size and/or shape. This typically can be helped with tattooing and it can detract from scars as well if present.
The NAC will survive but be patchy or void of color. Tattooing is a great way to populate the tissue with color again.
There can be blood supply issues/risks associated with surgery that can lead to partial or complete loss of the NAC on one or both sides. Many times, a skilled tattoo artist can help recreate a #3Dnipple and help the overall appearance. It's dependent upon individual tissue integrity and scars and your artist's level of expertise to yield a good result. Areola tissue with scarring is an unpredictable canvas that can require multiple sittings for the end result. It requires patience and trust in the process.
#areolarestorativetattooing after #nippleareolacomplex compromise due to breast reduction. This client had partial color/tissue loss on the right areola perimeter and complete nipple necrosis on the left. The left #nac was surgically created but void of color. #areolatattooing adds color to balance shape and symmetry and I did a #3Dnipple on her left. Showing before, immediately after 1st session and after touch up.
#areolarestorativetattooing shown freshly done on a woman who had post operative cosmetic surgery complications. She desired her left #nippleareolacomplex to be given a more round shape. Her right #nac was lost after #breastaugmentation with #mastopexy so her surgeon did a #nipplereconstruction. Note her remaining areola sits high on the breast mound compared to the created nipple, which had flattened out considerably. This flattening allows me to ignore it and tattoo a #3Dnipple tattoo on that side for balance and symmetry. Her skin is fragile from wound healing and scarred from the nipple procedure…it could only take so much trauma from tattooing. I did as much as I safely could in one sitting and will add more later. This is a #multistage process! The skin cannot be overworked.
After touch up
#areolarestorativetattooing shown freshly done on bliateral #topsurgery nipple grafts. Surgery completed in San Francisco, CA. Redness and swelling will subside as they heal. He wanted better balance in shape and size. He will return later for touch up.
#areolarestorativetattooing shown freshly done on bliateral #breastreduction complications. She had wound healing problems and necrosis after surgery which took place over a year ago. This is the 1st session of a multi-stage process. She will return later for touch up.
#areolarestorativetattooing shown freshly done after ftm top surgery procedure. After healing period, touch up will be completed.
Added more color especially to 3D nipple on left
#MASTECTOMYTATTOOS on Bilateral implant based #breastreconstruction 🎀 done at the Cleveland Clinic. This has been a long road to get to this stage. She initially had #nipplesparing #mastectomies resulting in losing the majority of her #NAC bilaterally. She required wound care and revision surgeries. Then she was turned away by a very famous #nippletattooartist because she had existing #areola tissue refusing to tattoo her until she underwent more surgery to remove it! She found me on the internet and I was more than happy to help. She has realistic expectations on the end result and is #overthemoon🌜 with her new look.
#MASTECTOMYTATTOOS shown here freshly done on a gorgeous 😍 bilateral #diepflapreconstruction performed at the CENTER FOR RESTORATIVE BREAST SURGERY in New Orleans. She had a #nipplesparing #mastectomy on the right and #skinsparing mastectomy on the left with surgically created #nipplereconstruction 🎀 Instead of using their usual #nippletattooartist she chose to come to me instead ❤. Each restorative tattoo artist has a unique style and It's important that you find the right artist for you 🎨 ! Here I added color to her right #areola and softened the edges and tattooed her left side, both per her preferences. It's also important that you choose an artist that hears you and allows you to participate in your #finishingtouch 😘
#mastectomytattoos shown here freshly done on bilateral implant based #breastreconstruction by Dr. Binh Nguyen in Cincinnati, Ohio after #nipplesparing mastectomies. It is common for either one or both NAC to have healing issues and loss of tissue postop. After doing online research, she decided to come to me for #areolarestorativetattooing 💕 She will return later for top off.
#MASTECTOMYTATTOOS shown freshly done on bilateral #diepflapreconstruction by Midwest Breast. Mastectomy by Dr. Padia 💓 Her left breast cancer was close to her nipple so it had to be removed and #skinsparingmastectomy was done, her right side was a #nipplesparing mastectomy . Her right #nippleareolacomplex lost it's nipple protrusion and most of the color. (This is extremely common after nipple sparing mastectomies). I tattooed color back into the right #nac and did a #3Dnippletattoo on the left. The redness will subside as they heal. She'll return later to add more color if needed and to even things out between the 2 sides.
After breast reduction by Dr. Bob Heck. She's extremely happy with how it turned out.
#MASTECTOMYTATTOOS shown freshly done on bilateral implant based #breastreconstruction after #nipplesparing mastectomies. Here the shape and symmetry are improved with #areolarestorativetattooing ❤ She will return later for top off.
#areolatattooing to achieve a more proportional size after top surgery. This client started out with tissue expanders and then switched to silicone implants for augmentation. Surgery by Dr. Chandawarkar at #ohiostateplasticsurgery They will return later for touch up.
Adding pigment and covering scars after augmentation/mastopexy. 1st session. Redness will subside as they heal and she'll be back for touch up later.
#areolarestorativetattooing shown freshly done after #ftm #topsurgery done by Dr. Okada. There was some delayed color loss on the right side that appeared after surgery. #nippletattooing is a great way to fill in the color void and cover the perimeter scars. The redness and swelling will subside as they heal.
#MASTECTOMYTATTOOS shown freshly done on bilateral implant based #breastreconstruction after bilateral #nipplesparing mastectomies. She unfortunately lost her right NAC completely to tissue necrosis and her left side ended up completely void of color afterwards. Reconstruction by Dr. Vidas Dumasiusin Marietta, Ohio… she found me on the internet. I tattooed a #3Dnippletattoo on her right and #areolarestorativetattooing on her left. The redness will subside as they heal and she'll be back for touch up later.
Her left #nac took color well. Her right side skin was very fragile, so I stopped tattooing before it was completed in order to not damage her skin. I was able to add more and complete at touch up. This is where you really require an educated, experienced artist.
#areolatattooing freshly done after #augmentation #mastopexy by Dr. Heck. She wanted her hypopigmented scars to be covered and areolas balanced. The redness and swelling will subside as they heal and she'll be back for touch up later.
Here, we've achieved a more symmetrical appearance with size and shape.
#breastcancer #areolarestorativetattooing shown freshly done 1st session. She has a history of lumpectomy with radiation on her right breast. After #mastopexy and explant surgery, she lost pigment in her areolas. The tattooing helps to restore symmetry and balance to the eye. She'll be back later for touch up. Surgery preformed at Ohio State.
#areolarestorativetattooing progress shown on bilateral #breastaugmentation by @dornerplasticsurgery 🍨🍨 This client wanted a larger areola size to be in proportion with her new breast appearance and to achieve symmetry with shape and size of areolas. She's very happy with her new look 😍 #thenipplefairy®️
areolarestorativetattooing shown freshly done after nipple #necrosis complication from breast augmentation/mastopexy surgery. Her surgeon completed a #nipplereconstruction and then referred her to me for tattooing. She consulted me last year but her skin and scar tissue were not ready for tattooing. After waiting a year and a good inspection of her skin, I determined it was now safer to proceed. In some areas the scars are thick and in some, very thin, especially the upper pole of the areola. So this fragile tissue has to be handled with lots of care and caution. This is the 1st step of restoration. It will soften as it heals. She will return later for touch up.
Her skin is very fragile so work is limited in each session. This is after her 3rd session.
#areolarestorativetattooing shown freshly done on unilateral #nipplenecrosis after #breastreduction The redness will subside as it heals and she will return later for top off.
After touch up
#MASTECTOMYTATTOOS shown freshly done on bilateral #nipplesparing mastectomies with #diepflapreconstruction 🎀 She was unhappy with her scars the surround the left areola and the right areola is considerably smaller in size. I implanted ink in her left scar and enlarged the right for symmetry. She will return later for top off.
#areolarestorativetattooing shown freshly done on unilateral nipple necrosis and loss. After cosmetic surgery she developed tissue death, multiple debridements id necrosis and eschar, and finally a wound vac to heal by secondary intention. The fragile skin must be cared for properly. This is the fresh 1st session. She'll be back for touch up later ❤
#areolarestorativetattooing shown freshly done on bilateral #nac necrosis following #breastreduction 🧚♀️ Her last surgery was a few years ago, we waited until her scars were ready for tattooing. The reddish color will subside as they heal and she'll be back for touch up later.
She healed great from her 1st session
After top surgery, this patient wanted their areola, enlarged, reshaped and appearing closer towards midline. Fresh tattoo redness will subside as it heals and touch up will happen later.
#areolarestorativetattooing shown freshly done on bilateral areolas after healing from necrosis. She had an augmentation/mastopexy about 12 years ago resulting in tissue loss to both areolas and her incisions. She had her implants removed via #enbloc explantation and scar revision (only of her inframammary folds). Tattooing helps to establish better shape and symmetry. The fresh reddish color will subside as they heal and she'll be back for touch up later.
This young lady had a birthmark excised in 2012 and full thickness skin graft placed for reconstruction. This is the 1st stage of areola restoration. She will return later for touch up and we will add more color and adjust things as needed.
#MASTECTOMYTATTOOS shown freshly done on bilateral implant based breast reconstruction after bilateral nipple sparing mastectomies. She was referred to me by the wonderful Dr. Figy
at University of Nebraska Medical Center and came to Ohio ✈ for her nipple tattooing 💜 Her right side is a nipple reconstruction with areola graft and left side is her native NAC.
The redness will subside as they heal and she'll be back for touch up later.