This involves the creation of a nipple areolar mound and pigment to replace that removed by mastectomy.

Patients having a mastectomy will have the nipple removed at the time of their mastectomy. A nipple can be reconstructed after breast reconstruction. Nipple reconstruction is done after the reconstructed breast has had time to heal — at least 3 or 4 months after reconstruction surgery.

Nipple reconstruction surgery is usually done as outpatient surgery. It may be performed at the same time as a balancing operation is performed on the opposite breast (if required).

The nipple may be reconstructed from the surrounding , at the site desired for nipple placement. The surgeon makes small incisions and then elevates the tissue into position, forming and shaping it into a living tissue projection that mimics the natural nipple.

A dressing is applied for 1 week and at the end of that time, the stitches are removed. The new nipple and surrounding areola can be tattooed about 3 months after surgery.