Nipple tattoos and adhesive nipples

Some people choose to have coloured nipple tattoos after a mastectomy. This might be:

• following surgery to recreate the nipple and areola
• instead of nipple reconstruction surgery.

Nipple tattooing after nipple reconstruction

If you have nipple reconstruction surgery, the new nipple and the skin around it (‘areola’) may not be the same colour as they used to be.
You might choose to have colour tattooing to:

• make the nipple look more natural 
• match the colouring of your other nipple. 

Or, you may prefer a decorative tattoo of the areola.
The procedure usually does not hurt because the reconstructed breast and nipple have little or no sensation.

Nipple tattooing instead of nipple reconstruction

Not everyone chooses nipple reconstruction surgery. You may choose to have a tattoo instead. There are two common types of nipple tattoo.

3D image of a nipple

This procedure uses shading and colour to create an image of a nipple. It is realistic and has the appearance of width, height and depth but is flat to the touch.

Ask your surgeon to recommend a tattooist who is experienced in this procedure.

Decorative nipple tattoo

Some people choose to have a decorative tattoo in the position where a nipple would be.

This may be an image or design that is meaningful to them, or something that brings joy when standing in front of a mirror.

When nipple tattooing can happen

Whether tattooing is after or instead of a nipple reconstruction, this can only be done when:

• your wounds are completely healed
• your surgeon has advised that it is safe.

Where to find a nipple tattooist

Some public hospitals offer a free nipple tattooing service. Ask your doctor or breast care nurse what is available.

In the private system, breast reconstruction surgeons may offer tattooing or referrals.

Medicare rebates for nipple tattooing

There is a Medicare rebate for nipple tattooing if the tattooist is a registered provider. To apply for the rebate, you must have their Medicare provider number. It is a good idea to ask about any out-of-pocket costs before you make an appointment.

Self-adhesive nipples

You may decide to wear an adhesive (stick-on) nipple if:

• you have chosen not to have further surgery
• you are waiting for nipple reconstructive surgery

These are usually made of a soft silicone and come in several colours. Once you stick them on, the nipples generally stay in place for a few days.

You can buy them from the same place you buy breast prostheses.

Another option is a temporary tattoo that gives the illusion of a nipple.

Join the conversation

Want to connect with people who have experience of a breast and nipple reconstruction? Join the private online group Choosing Breast Reconstruction in BCNA's Online Network.