3D Areola Reconstruction


Naomi has a wealth of experience in this field and has recently conducted the training of Nurses at the Royal Marsden Hospital in London.

The diagnosis of breast cancer is an often daunting and terrifying moment in any woman’s life. With the help and support of consultants and surgeons, patients are often given a mastectomy, to one or both breasts. Often after healing time many ladies find themselves back on the operating table for breast reconstruction surgery. This revolutionary procedure often uses tissue from the back buttocks and abdomen of the patient, but many patients still feel that something is missing.

The paramedical use of cosmetic tattooing is a highly specialised field, completing the journey through breast cancer, and reconstruction for thousands of woman every year. In the form of areola and nipple reconstruction. Paramedical uses of permanent make-up pigments provide a feeling of normality from unsightly scars and the plain-ness of a breast without an areola.


Also called micropigmentation, paramedical permanent make-up is the implantation of pigment within the skin to create a shadow of colour in a 3D effect. Veins, freckles and light and shade can even be achieved achieved, making the look natural and real. As a trained medical tattooist, I carry out the procedure in private clinics or hospitals. If I am matching a new nipple and areola to the existing breast, I mix various colours and help the patient select the correct pigment tone. If the patient has had bilateral reconstructions (double mastectomy), we can use their pre-operative photos to recreate the nipple colour, or they can pick a new colour that they like against their skin tone. As with any tattoo, the pigment will fade in time and this treatment is designed to last up to five years with maintenance visits.

If the patient has had a breast implant and is fortunate to regain some breast skin sensation, you may need to apply topical anesthetic so they remain comfortable. Most patients with flap reconstruction have little or no sensation, others describe the treatment and slightly uncomfortable. After drawing the outline of the areola a tiny needle is placed against the breast. The patient may feel a vibrating sensation as the medical grade pigment is placed into their skin in various motions to create texture. The entire process can take as little as 60 minutes leaving a beautiful new breast. Giving back confidence and a feeling of being whole again.

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