Rebuilding a nipple after breast reconstruction to complete the natural appearance of the breast.


Nipple reconstruction rebuilds a nipple on a reconstructed breast, usually as one of the final steps once the breast shape has settled. A small local flap of skin is raised and shaped to create nipple projection.
The areola is then recreated by medical pigmentation, a specialized tattooing technique that restores color and the appearance of the areola. This pigmentation step is offered as a non-surgical treatment and completes a natural-looking result.
A reconstructed nipple does not have normal sensation and is not erectile, and projection naturally softens and flattens to some degree over time. Color is added separately by medical pigmentation.
Nipple reconstruction is usually timed once the reconstructed breast has settled. Position is planned carefully for symmetry with the other side, and the pigmentation step that follows is explained.
A small local flap of skin is raised and shaped to create the nipple and its projection, then closed. The procedure is focused and usually performed under local anesthesia.
Mild swelling and tenderness are normal and settle within days. Once healed, the areola is recreated with medical pigmentation at a later, non-surgical appointment to complete the appearance.
A natural-looking nipple and, with pigmentation, a complete areola are achievable. The reconstructed nipple does not regain sensation, is not erectile, and projection softens over time, so it is sometimes built slightly fuller to allow for this. Your surgeon explains what to expect.
Nipple reconstruction is a minor procedure but still carries some risks. Possible risks include:
Healthy, settled tissue gives the most reliable result, so reconstruction is timed once the breast shape is stable.
Reconstructive surgery at Skulpturkliniken is performed by Dr. Matteo Amoroso, a specialist plastic and reconstructive surgeon.
Dr. Amoroso sees nipple reconstruction as the final, meaningful step in your reconstruction journey, and plans it with the same care as the previous stages.
From the first consultation, Dr. Amoroso helps you understand timing, technique, and what is realistic for a natural result.
Every procedure begins with a detailed assessment. We evaluate:
Safety is central to every step of the surgical journey. Your treatment includes:
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