FAQs

What is areola and nipple reconstruction or restoration?
Areola and nipple reconstruction or restoration is the recreation of a nipple and/or areola on the breast mound following breast reconstruction. This can be achieved through surgery or created non-surgically through cosmetic tattooing, depending on the desired outcome.

Why choose cosmetic tattooing for areola and nipple restoration?
For many women, it’s a matter of looking and feeling more comfortable with themselves after mastectomy or other breast surgery. 3D nipple or areola tattoos give the appearance of the areola complex including the nipple, but without the “bump” or projection created by surgical nipple reconstruction. This is the best of both worlds for some patients, especially those who prefer not to wear a bra and do not want the projection created by a surgically reconstructed nipple to be visible through their shirts.

What is involved in areola and nipple tattooing?
We use digital micropigmentation technology to deposit color into the dermal layer of the skin. We can do this over a surgically reconstructed nipple to add color to the existing nipple and create a surrounding areola. We also can create a three dimensional looking nipple and areola on a breast mound without a surgically reconstructed nipple. In addition, we can add color and highlights to a previous cosmetic nipple-areola tattoo for an improved look.

Why do you use the term “3D” for areola and nipple tattoos?
The term comes from the highly realistic, natural looking nipple and areola that can be achieved when advanced technology is used by experienced specialists. The results appear three-dimensional without the “bump” or projection created by surgical nipple reconstruction.

Are areola restorations (3D nipple tattoos) covered by insurance?
Yes, both surgical reconstruction and non-surgical restoration of the nipple-areola complex are procedures covered by most insurance companies.

Why is Bellavie MedSpa the best choice for 3D nipple and areola tattoos?
Our trained and experienced cosmetic tattoo specialist not only is certified in cosmetic tattooing, but also is a nationally certified and state-licensed physician assistant. She has many years of experience working side by side with a renowned plastic surgery team in hospital as well as outpatient settings. In addition, our digital micropigmentation equipment is latest-generation and top-of-the-line, and for every treatment, a new sterile needle is used and destroyed immediately afterward. And because we are part of Suffolk County’s only academic medical center, you can expect the high level of medical excellence and respect for the individual that Stony Brook is known for.

Does it hurt?
No, it does not. Clients may feel some vibrating or slight scratching but any discomfort is kept to a minimum with our computer-controlled equipment and anesthetic creams. Most people feel nothing at all during the micropigmentation process.

Who’s a suitable candidate for permanent makeup?
Almost anyone. Micropigmentation enhances natural good looks in both men and women –great for busy people, those who are active in sports, individuals with allergies to makeup, contact lens wearers with sensitive eyes, and anyone who wants the boost in self-confidence byv looking great around the clock.

How long does permanent makeup last?
Permanent makeup is permanent. That being said, the intensity of permanent makeup may fade over time, depending on the individual’s natural cell renewal, immune system and exposure to ultraviolet light.

What if I don’t like the results?
We make sure you are satisfied before the application begins. You’ll choose the shape and color best for your face before the pigmentation procedure.

What if I’m uncertain which color to choose?
Our cosmetic tattoo specialist is trained in color theory and can give you expert advice. Our pigments come in more than 66 colors for all skin types, and we can mix custom colors, as well.

Can I still apply regular makeup?
Of course. Additional makeup can always be applied for a different look or a special occasion.

How do I initiate treatment?
You begin with a consultation with our cosmetic tattoo specialist to discuss your needs and wishes. Together we can develop a plan that offers you the results you are looking for.

How long is the process?
It usually takes about 60 to 90 minutes, including the consultation, drawing the shape, choosing the color, and the tatooing procedure itself.

Are the final results immediately visible?
During the first week, the pigmentation is significantly darker than the final result. The intensity of the color will become about 40% softer within the first week of healing, then soften a bit more over the next three to five weeks.

Why is Bellavie MedSpa the best choice for permanent makeup?
Our trained and experienced cosmetic tattoo specialist not only is certified in cosmetic tattooing, but also is a nationally certified and state-licensed physician assistant with many years of experience working side-by-side with a renowned plastic surgery team in hospital as well as outpatient settings. In addition, our digital micropigmentation equipment is latest-generation and top-of-the-line, and for every treatment, a new sterile needle is used and then destroyed immediately afterward. And because we are part of Suffolk County’s only academic medical center, you can expect the high level of medical excellence and respect for the individual that Stony Brook is known for.

Why consider scar camouflage?
Scars are visible signs left on the skin after a wound has healed. They may result from accidental injuries or surgical procedures. In certain instances, they can have a very negative impact on a person’s confidence, self-image, and psychological and emotional wellbeing.

What are the options for scar camouflage?
A variety of options are available for removing scars, from simple topical treatments to surgical revision with advanced techniques in wound closure. The recommended approach varies based on the type and degree of scarring.

The goal of these different treatments is much the same: to “camouflage” the scar so that it is more consistent with the surrounding skin tone and texture. Cosmetic tattooing offers another option that has proven effective, and for some patients may be the most attractive. Scar camouflage with tattooing isn’t new, but it has dramatically improved with the development of new techniques and pigments that can make scars practically invisible.

How are scar camouflage tattoo procedures performed?
Scar camouflage with tattooing is a sterile, office-based procedure that utilizes techniques of medical tattooing to blend the color of the surrounding skin into an existing scar to minimize its appearance. We use advanced digital micropigmentation technology with various shaped needles and a customized color to impregnate the skin with ink.

Is there downtime?
Most people can go back to work immediately. A dressing may be advised for seven days along with topical lotions. We recommend no swimming or excessive sweating for approximately two weeks. Please note that aftercare is individual since everyone heals differently.

Who can benefit from scar camouflage with tattooing?
Patients with scars that are lighter than the surrounding skin are called hypopigmented scars. These scars can be from surgery, traumas or burns or from various procedures like cleft palate, breast, abdominal and facial surgeries, as well as surgeries on the legs and arms. We recommend that scars be at least 12 months old and are not changing color anymore. We call this a stable scar.

Are scar camouflage tattoos permanent?
Everyone reacts differently to the tattoo procedure and has an individualized result. We explain that the tattoo may fade over time, which would necessitate a touch-up procedure.

How long do the procedures take?
The procedures on average take about 30 to 60 minutes.

Are scar camouflage tattoo procedures painful?
Scar camouflage with tattooing can be uncomfortable but is usually well tolerated. Topical anesthetic creams are unable to be utilized since they tend to interfere with the color of the skin and the procedure.

How do you ensure good results?
During the initial consultation, we can discuss the specifics of your scar, skin tone and goals, and develop a treatment plan accordingly. Generally speaking, because it is very difficult to lighten a tattoo once complete, the best approach in many cases is to seek a lighter result from the first session, and if necessary, add color in a second session.

Are there any potential problems that can occur during or after the procedure?
The problem most seen in camouflage tattooing is color fading or poor color uptake. This occurs when scars have poor blood supply, resulting in poor or short-lasting color uptake. There also is a risk of infection or allergic reactions to ink or materials used for the procedure. We seek to minimize the risk of problems or a poor outcome by taking a careful history and requiring clearance from a medical provider before the procedures.

What’s a touch-up and when is it needed?
A touch-up is a term we use for a follow-up session to add more color or adjust the tattoo. We usually proceed with a touch-up six weeks after the initial tattoo. It takes about the same time as the initial session with the same post-procedure care and instructions.

How much do scar camouflage tattoo procedures cost?
The cost is determined by the area and size.

Does insurance cover scar camouflage tattoo procedures?
Insurance generally does not cover scar camouflage tattooing.

Why is Bellavie MedSpa the best choice for scar camouflage tattooing?
Our trained and experienced cosmetic tattoo specialist not only is certified in cosmetic tattooing, but also is a nationally certified and state-licensed physician assistant with many years of experience working side by side with a renowned plastic surgery team in hospital as well as outpatient settings. In addition, our digital micropigmentation equipment is latest-generation and top-of-the-line, and for every treatment, a new sterile needle is used and destroyed immediately afterward. And because we are part of Suffolk County’s only academic medical center, you can expect the high level of medical excellence and respect for the individual that Stony Brook is known for.