Simulated Areola & 3D Nipples

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Simulated Areola & 3d nipples

Skin tone pigments are applied to the breasts via a PMU machine to simulate the areola and nipple tissue. This is typically a two visit procedure after the initial consultation.

The procedure requires a consultation session. Please scroll for more information below

Duration: 1 ½ - 3 hours or longer


All procedures require consultation services. The formal consultation is a one-time thing. However, if you choose to have additional procedures over time, your Permanent MakeUp (PMU) artist will once again review your medical history and will want to know if there are any changes in your health status. Consultation services are nonrefundable and are paid in-full when scheduled. The selected procedure must be initiated and completed within 6 weeks of the associated consultation. The consultation fee is NOT applied to the deposit or service fees

All services are to be scheduled with a $100 appointment deposit. The $100 appointment deposit will be applied to the cost of the selected procedure at the time of procedure; please refer to the complete cancellation policy for further details about the deposit.

Consultation duration: 45-60 minutes

Schedule Appointment

All procedures are subject to current New Jersey sales tax.

*All procedures may require more than 1-2 visits/applications and will be discussed during the consultation and selected procedure. Pricing for more than 2 visits will be discussed and determined as needed.


Services must be canceled within 48 hours. Failure to cancel within 48 hours of the appointment will be called a “no show” and will be subject to a $100 fee (ie, the $100 deposit will serve as the “no show” fee). Please refer to the Cancellation/Deposit Policy Form for details; your signature is required at the bottom of the form. For a full list of our policies please click the button below.


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Areola and 3D Nipple Pigmentation

Areola and 3D Nipple pigmentation is recommended for post mastectomy patients, breast augmentation (augmentation mammoplasty), breast reduction (reduction mammoplasty), breast lift (mastopexy), male breast reduction due to gynecomastia, breast implants, or individuals who would like to enhance their natural pigmentation. This type of procedure has also been labeled as a medical tattoo; paramedical PMU; areola pigmentation; areola re-pigmentation; areola and nipple tattoo; areola and nipple micropigmentation; and, areola and nipple restoration to name a few.

The Benefits Associated with Areola and 3D Nipple Pigmentation:

Most of the breast surgeries cited above will alter the appearance of the breast tissue.In many cases, the areola and nipple is removed or greatly altered in appearance. The lack of areola and nipples can greatly affect an individual’s self-esteem. Some people report that they feel “whole” again after the tattoo is completed. Breast cancer survivors have also stated that they feel that the application of the tattoo represents closure of a very difficult time in their lives.

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Application of the Medical Tattoo:

This application is completed one year after surgery unless otherwise indicated by the attending physician and surgeon. Your incision(s) must be healed, the area should no longer be discolored, and the skin tone/color should not be changing any further. It is important to note that a very bumpy or raised surgical area may not accept pigment evenly or at all in some instances. Your PMU artist may want to visually assess your surgical area during the consultation visit to determine if this procedure is right for you.

The Procedure:

The procedure is similar to that of any other permanent makeup (PMU) application in that the PMU artist will inject pigment into the skin via a PMU machine to produce simulated areola and 3D nipples. The procedure will not bring back your actual natural areola and nipple(s) and it won’t produce the actual sensations of natural areola and nipple(s) BUT simulated areola and nipples will look surprising natural. Please note that your PMU artist cannot provide an exact match to your existing or former areola/nipple(s) but will produce a tattoo that resembles natural areola and nipple(s). You will “see” the bumps and/or irregular shading that you would see on your natural areola and nipple(s) however the area will be smooth to your touch. You and your PMU artist will determine the best shading and coloring for your tattoo(s). If a unilateral application is warranted (i.e., only one breast needs the tattoo), the PMU artist will attempt to simulate a similar areola and nipple coloring and pattern as seen on the “sister” (or “brother”) breast. If a bilateral application is necessary (i.e., both breasts require a tattoo), you and your PMU artist will determine the exact placement of your areola and nipples and will review color so that your tattoo will be as natural as possible.

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Your PMU artist will assess your level of discomfort and will apply topical numbing as needed. Most clients that receive areola and nipple pigmentation due to breast reconstruction feel minimal to no discomfort and don’t need topical numbing. Your artist will continuously assess your level of comfort and will intervene as necessary.

PMU Artist Credentials:

Your PMU artist will have completed basic training and education for PMU procedures as well as advanced coursework and hands-on training for areola and nipple micropigmentation. All certifications are on display in our studio.

Women’s Health and Cancer Rights Act (WHCRA) 1998:

The WHCRA is a federal law that provides some rights to patients that have had breast reconstruction.

Your insurance may or may not cover some, or all, of the costs associated with areola and nipple pigmentation procedures. You must check with your insurance company for details and associated processes for reimbursement PRIOR to getting the tattoo(s) as they may require pre-authorization. If you do have coverage for this procedure you will generally have to pay out-of-pocket and then get reimbursed post procedure. The client is responsible for submitting all insurance claims.

The insurance company may require some, or all, of the following (other requirements may apply as well):

- a prescription from your physician (for the tattoos)

 -procedure (tattoo) and medical diagnosis codes

 -pre-authorization

 -selected insurance forms