Lynn and Kristin Duncan's World Class Permanent Makeup Artistry | Delafield, WI  (262) 470-0077
Chicagoland/Grayslake, IL (312) 550-1473

Areola / Nipple Reconstruction FAQ


Permanent Makeup FAQ - Lynn DuncanLynn Duncan is a Wisconsin State-Licensed & Registered Occupational Therapist.
Lynn Duncan is Physician Referred & Preferred

Following reconstructive breast surgery, most women opt to follow through with the finishing touch of para-medical tattooing in order to restore an areola and/or nipple to their newly constructed breast(s).

When the reconstructive surgical process is complete, there is a nice breast mound/implant, oftentimes with a surgically created nipple. However, no color is found in the areola/nipple complex. 

By using skin tones as a guide for a natural color selection, along with the careful shaping of each areola, Lynn Duncan is able to achieve an amazingly realistic areola/nipple on the newly constructed breasts, using a specialized process of shading and highlighting.  

Also, Lynn Duncan takes into account that the breasts will be most beautiful when much of the scarred tissue can be created into the natural shaping of the areola and this process is taken into account as she makes sure both areolas are symmetrically balanced. 

This process is the "final" process that women tell me is the "icing on the cake" following their long journey of the emotional healing process, as well as the physical restoration of their breasts.

Your areola/nipple para-medical repigmentation procedure will be done in a very private, relaxed, warm and sanitary environment. 

Lynn Duncan is a Wisconsin Registered and State-Licensed Occupational Therapist which most health insurance companies recognize for health insurance reimbursement. Lynn will provide you with all of her Wisconsin State License Numbers, billing codes, diagnosis codes, etc. needed for your insurance reimbursement. 

Commonly Asked Questions:

How is the procedure done?

First, we will numb the breasts prior to starting the procedure. Even though most women explain that they have no or very little sensation in their newly recreated breasts, the numbing process ensures their comfort throughout the procedure.

We will then select the proper/desired color of the areola/nipple. If there is only one areola to be done, we will match the color as closely as possible to the existing areola. Otherwise, if both breasts require an areola, you have the freedom to choose how light or dark, pinkish, tannish, brownish, etc. you would like them to be.  The same holds true for shaping as well.  You can choose between a smaller, medium or larger sized areola.

After the areolas/nipples are numbed, Lynn will draw on the areola shape with a surgical marker to be sure YOU APPROVE of the shape prior to starting the procedure. Again, care will be taken to cover as much scarring as possible while symmetically matching the areolas with the desired areola size. 

Will it look natural?

Yes, it will look very natural. Initially, the color will be too dark and intense. However, during the following two weeks, you'll notice the color softening into a very natural tone.

Lynn uses a "stippling" method of color implantation which makes the areola look even more authentic, as a natural areola is not just one color.

In order to avoid a "cookie-cutter" areola shape, Lynn shades/softens the edges of the areola, again mimicking a natural areola.

Following the initial application of color, you will return for a touch-up appointment, approximately 6-8 weeks later. During this touch-up procedure, we will add another layer of color and/or tweek the color or shape, as desired.

They will look amazingly natural and beautiful.

Is the procedure safe?

Yes, again, Lynn Duncan is a Wisconsin Registered and State-Licensed Occupational Therapist. Most health insurance companies (depending on your personal health insurance policy) recognize Lynn Duncan's qualifications as being reimbursable.

Also, Lynn Duncan only uses 100% one-time use, disposable equipment. Lynn's methods are of the safest, most sterile form of cosmetic tattooing available today.

How long will the color last?

Various factors affect the longevity of color, including, but not limited to: the skill of the technician, the quality of pigments used, the individual's skin type, chosen pigment color (darker lasts longer), and some lifestyle variables including sun exposure, the use of skin-exfoliating products and frequent swimming in chlorinated pools.


Over the years, when the color becomes too light, you may wish to schedule a "maintenance" procedure at that time.

My natural areolas have faded over time, am I a candidate for this process?

Permanent Makeup FAQ - Lynn DuncanYes, absolutely. Many women choose to darken their natural areolas and/or increase the size of their natural areolas with areola repigmentation. This procedure is for anyone desiring a more youthful-looking set of areolas.

Is there a color choice?

Yes. Natural areolas are vary in color. You can choose between different natural areola color tones and can have them pigmented as lightly or dark as desired.

I have had a breast augmentation and would also like to enlarge the size of my areolas to match my new breasts, is this possible?

Yes, of course. Breast augmentations are extremely popular these days and many women feel the need to "complete" the process by either adding more color to their existing areolas and/or enlarging them.

Permanent lip color seems like a "high maintenance" type of procedure, am I right?

Yes, definitely, as compared to other permanent makeup procedures.

How long does this procedure take?

Approximately 1-1/2 - 2 hours, in and out the door.

Will health insurance companies cover areola repigmentation?

Yes and No. Yes, if you've recently had breast reconstruction post mastectomy and only if it is written into your doctor's treatment plan for you to have areola repigmentation.

Yes, also because Lynn Duncan is currently State-Licensed (in Wisconsin) as a Registered Occupational Therapist and is recognized as a Health Care Professional with most insurance companies. Lynn Duncan does accept referrals from many plastic surgeons to perform this service for their breast reconstruction patients, following surgery.

No. If this procedure is not written into your doctor's treatment plan for you at the time of breast reconstruction, or if this procedure is only desired for only cosmetic reasons.

How do I prepare for this procedure?

If you are being referred to me by your physician, it is recommended that you first call your insurance company to make sure you inquire as to proper protocol for coverage.

Once an appointment is scheduled with me, you may wish to bring in a picture(s) of areolas you feel you would like to have pigmented. If you do not bring any pictures, I have pictures in my office we can review and discuss together during your consultation. It would be a good idea to start thinking about color and size prior to your appointment.

Is there down-time?

No. There is no down-time. You may go about all of your daily activities without hesitation. However, your breasts may be a bit sensitive during rigorous activity during the first 24 hours.

What after-care instructions must I follow post procedure?

It is important to follow these after-care rules for best results:

— Do apply ointment to your areolas 3x/day for one week. (ointment will be provided)

— Do not rub your areolas for one week. This means do not wash them; washing is rubbing. Stand with your back to the shower head and allow the water to gently run off of your newly pigmented areolas.

— Apply a piece of gauze over your ointmented areolas within your bra for one week, following your shower. Approxiately 50% of the pigment will exfoliate during the healing ointment week and the gauze will prevent your bra from becoming soiled with remnant pigment.

— For the first three (3) nights, keep your bra on while sleeping. However, starting the fourth (4th) night, sleep with no bra. Instead, after applying your ointment (which you should do for an entire week), sleep with an older night garment and allow your areolas to breathe.

— Toward the end of the week, you will notice that the color will have softened and lightened into a natural color and you may discontinue all after-care instructions.

— Be sure to schedule your "follow-up" appointment 6-8 weeks following your initial procedure.