What is nipple reconstruction?
Nipple reconstruction is a surgical or non-surgical procedure designed to recreate the appearance of a nipple following mastectomy or breast reconstruction surgery. It can help restore breast symmetry and improve confidence, providing a more natural look.
Reconstruction can be performed months or years after breast reconstruction once the breast shape has settled. Some patients may choose tattoo-only techniques, while others opt for a surgically reconstructed nipple.
Types of nipple reconstruction
1. Surgical nipple reconstruction
This procedure involves creating a raised nipple shape using skin from the reconstructed breast. Techniques include:
- Local tissue flap reconstruction – uses small flaps of breast skin to form a new nipple
- Skin grafts – takes skin from another area of the body, such as the inner thigh, to create the nipple
- Dermal fillers or fat grafting – adds volume to enhance nipple projection
A tattooed areola may be applied later to complete the natural look.
2. 3D nipple tattooing (micropigmentation)
For patients who prefer a non-surgical option, 3D nipple tattooing creates a realistic, natural-looking nipple and areola. It is ideal for those who:
- Want to avoid additional surgery
- Prefer a flat appearance rather than a raised nipple
- Have had a reconstructed breast that lacks natural tissue for surgical nipple creation
3. Nipple sharing graft
If only one breast has been removed, a portion of the remaining natural nipple can be grafted onto the reconstructed breast for a symmetrical result.
When is nipple reconstruction recommended?
Nipple reconstruction is a personal choice and may be considered if you:
- Want to restore a natural breast appearance after mastectomy
- Feel self-conscious about the lack of a nipple
- Have completed breast reconstruction surgery and are happy with the shape
- Prefer a more symmetrical breast contour
Some patients choose not to have nipple reconstruction, and that is completely valid. External prosthetic nipples and tattoos can also provide cosmetic solutions.
What to expect from nipple reconstruction surgery
- Performed under local or general anaesthetic, often as a day procedure
- Recovery takes about one to two weeks, with mild swelling and sensitivity
- The reconstructed nipple may flatten slightly over time, so initial projection may be higher
- If tattooing is required, it is done a few months after surgery to allow healing
Risks and considerations
While nipple reconstruction is generally safe, possible risks include:
- Loss of nipple projection over time
- Changes in pigmentation requiring touch-ups
- Scarring or delayed healing, particularly with skin grafting techniques
Your surgeon will discuss all risks and help you choose the best option for you.
Why choose Birmingham Breast Clinic?
Birmingham Breast Clinic offers specialist nipple reconstruction tailored to individual needs, using advanced surgical and tattooing techniques to achieve natural-looking results. Our expert team supports you at every step, ensuring the best possible outcome.
Contact us
If you are considering nipple reconstruction or want to learn more about your options, our team is here to provide expert advice and support.
