Overview
After the reconstruction of the breast tissue, the nipple and the areola, the colored area around it, can be addressed separately. In the surgical method, a small protrusion is created from the surrounding skin and tissue; color difference can be edited by medical tattoo. A tattoo is also an appearance option on its own, but it does not create a physical protrusion. Some people prefer silicone adhesive nipple prosthesis. Establishing the new breast shape and position is important for the correct settlement plan. It should be explained during the consultation that the created nipple may flatten somewhat over time and may not restore the sensation or function of the natural nipple.
What is evaluated?
- Evaluation of the healing of the reconstructed breast, skin quality and position of both sides.
- Examination of radiotherapy history, existing scars and local tissue circulation.
- Discussing protrusion, color and symmetry expectations along with surgical or prosthetic preferences.
Approach and options
- A nipple protrusion can be created with a small flap from the local skin and tissue in the breast.
- Areola color can be mimicked with medical tattooing, with or without surgery.
- Adhesive silicone nipple prosthesis or no additional procedure options may be considered.
Recovery and follow-up
A dressing that protects the newly created bulge from pressure can be used. Recommendations for bra, shower and dressing changes are given according to the technique. If tissue color darkens, wounds open, or discharge develops, the team is informed. If a tattoo has been made, surface healing and color change are also monitored; The need for retouching can be evaluated later.
Risks and limits
- Circulatory problems and partial or complete loss of nipple tissue.
- Flattening of the nipple projection over time and a need for another procedure.
- Asymmetry in color, location or size.
- Bleeding, infection, wound healing problem or significant scarring.
The headings here do not cover all risks. Possible benefits, alternatives and personal risks should be discussed in detail during the examination.
You can ask in the consultation
- How can I choose between a surgically reconstructed nipple, tattooing alone and a silicone prosthesis?
- When and how will the position of the new nipple be determined?
- What are the options if nipple projection decreases or the color fades?
Resources
- Cambridge University Hospitals NHS – Nipple reconstruction ↗
- Frimley Health NHS – Nipple repair and care ↗
- Dudley Group NHS – Medical tattoo after breast surgery ↗
Access to sources: September 2026. The content has been prepared for general information purposes.