Treatments Bug 8

3D Areola and Nipple Tattoo.

Helping restore your appearance and feeling of confidence.

We help breast cancer survivors get back to a normal life by creating 3D areola and nipple tattoos that look very natural. This service is also for women and men who have completed the surgical reconstructive process. Our goal is to help you feel confident about your appearance and health as you recover from surgery. 

We’ve perfected the design of 3D nipple and areola tattoos to look as natural and beautiful as possible. We offer customized areola shape, nipple position, colors, Montgomery glands (the small bumps around the nipple), and even wrinkles to make sure that yours look like they belong on your body. This procedure is usually a two-session process.

restore your appearance 

What is 3D Areola Tattoo?

A 3D Areola Tattoo is a type of Paramedical Tattoo that uses shadows and highlights to create the optical illusion of protrusion to the nipple mound. Additional depth and character are added to the Tattoo by creating Montgomery glands and wrinkles that mimic constriction of the nipple. In our field of Micropigmentation, we tend to perform this procedure on people who:
  • Have areolar loss due to mastectomy
  • Have areolar scarring due to nipple-sparing mastectomies
  • Breast lift scars
  • Breast loss due to burn
  • Breast reduction scars
  • Hypo-pigmented areolas
  • Weight loss surgery in men
  • Male breast cancer

Restoring Breast Beauty with 3D Areola Tattoo.

Dr. Kettelhut, who is specially trained in surgery and the art of medical tattooing, is Omaha’s leading paramedical tattoo practitioner. She believes that medical tattooing after breast reconstruction surgery is the most effective way to help patients find confidence in their bodies. She knows that patients who have had a mastectomy are looking for more than just cosmetics—they are seeking naturalness, comfort, and a realistically looking result.

Dr. Kettelhut uses her experience in surgery and her first-hand understanding of what women really want in order to help them restore from plastic surgery. She uses a variety of techniques to ensure that everyone can have a successful restoration, including scar camouflage tattoos. Dr. Kettelhut is one of the most admired professionals in her field. Her work with breast cancer patients and other patients who need scar camouflage has earned her the reputation of a compassionate and knowledgeable leader in paramedical tattooing.

Dr. Kettelhut’s expert medical tattooing is performed using only the finest quality, pre-sterilized pigments and the most advanced techniques to ensure that you get the most natural looking, long-lasting tattoos possible to beautify your body and face

Frequently asked questions.

Is it safe?

Yes, areola tattooing is safe. No procedure comes without risks involved, however, such as allergic reaction to the ink and infection of the skin/tissue. We will discuss the risks at the time of your appointment. Single-use disposable needles and disposable cups for pigments are used along with strict aseptic protocols for handwashing and gloves are worn at all times.

Post-procedural instructions should be followed to ensure safe healing.

What is the process?
The pigment is implanted into the skin by small needles that puncture the skin at a high frequency. The needles leave behind pigment using the same equipment used for body art tattoos. I use traditional tattoo ink, not cosmetic facial pigment. The skin heals, creating a natural nipple-areola complex tattoo.

Each client will have an in-depth consultation prior to the tattoo. We will discuss the best color, size and shape, and placement of the tattoo. The actual tattooing will take about 30-60 minutes.

The area will have slight redness and feel similar to a sunburn for a few days post-procedure. You will be instructed on aftercare for the area.

Does it hurt?
Everyone has a different pain tolerance but most patients report it very tolerable. Also, there usually is decreased sensation of the skin to a more or less degree, depending on the type of breast reconstruction you had. Tattooing is a superficial process and afterwards feels comparable to a minor sunburn for a few days.
How do I care for my new tattoo?

Aftercare is primarily a matter of keeping the area clean (showers only until healed), no immersing the tattoo in water, avoiding direct and artificial sunlight. You may want to keep that in mind when scheduling your appointment. Do not let the tattoo dry out. There may be some itching and peeling of the skin for the first week or two. Once healed, your tattoo will be soft and natural-looking. Keeping the skin hydrated and using broad-spectrum sun protection is key to keeping your tattoo vibrant for years to come.

Because tattooing causes trauma to the skin, it may take longer to heal in post-radiation treated skin, those with autoimmune disorders or taking immunosuppressive medication, or in diabetics.

See the aftercare instructions you are provided at your appointment.

Does the tattoo fade?
Yes, in varying degrees. Initially, the ink the tattoo will look very bright and darker than the actual ink used, but as skin heals, the skin cells that were damaged from the trauma of the tattooing process, are shed and replaced by new, pigment-free cells. This is why the color may look less deep and vibrant later on compared to when it was first tattooed. With proper healing and aftercare, your tattoo can look beautiful for years to come.

Please note, that if you have applied any type of topical anesthetic cream or ointment to your skin prior to your tattoo, it will change the skin and how it accepts pigment. This will result automatically in you requiring 2 sessions to achieve full color take on your tattoo. There will be a reduced sitting fee for the 2nd appointment but there will be much less time involved.

Is there anything I need to do before my appointment?

Make sure you eat on the day of the procedure.

Wear a comfortable, loose fitting clothing top that opens in the front.

It is OK to wear a bra.

Try to avoid alcohol as it also tends to thin the blood.

If you take aspirin or an NSAID for aches and pains, I would prefer you use Tylenol (if you can tolerate it) as it does not thin the blood, for a few days prior to the tattoo. However, DO NOT STOP regularly prescribed blood thinning medications from your physician, (aspirin or prescriptions). The tattoo is a superficial procedure, not an invasive surgery.

Can I enhance my areola color?

As we age, our areola and nipples may fade. Therefore, people who have faded or discolored areolas often look for areola re-pigmentation, also known as 3D nipple tattooing. This specialty area of medical tattooing is an artform, and multiple sessions may be required. Color enhancement can darken the areola and is great for augmentations or reductions.

Can I reduce the appearance of scars?

Cosmetic breast surgeries can also result in undesirable scarring and asymmetry between the two areolas. We can match the color tones of existing areola tissue and add color to minimize visible scarring, restoring the natural shape of your breasts.

SMART Connection

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