3D Nipple Tattoos

Q.
What are 3D nipple tattoos?
A.

As breast reconstruction does not typically include the areola and nipple, 3D nipple tattoos (commonly referred to as 3D areola tattooing) have become an increasingly popular option that creates the illusion of protrusion, size, shape, and color of a realistic areola and nipple. Clients who have finished their sessions often feel a sense of wholeness as their breasts now have a semblance of their original look and feel. Instead of looking in the mirror and seeing the scars of their experience, these women are reminded less of breast cancer and more of their pre-cancer days.

Some surgeons do offer a post-op areola and nipple tattoo; however, their surgical expertise does not necessarily translate to an artistic touch as a realistic 3D nipple tattooing requires heavy consideration and artistic practice in pigment selection, blending, and shading techniques.

Q.
Who benefits from 3D nipple tattoos?
A.

Breast cancer survivors make up the bulk of my clients for 3D nipple tattoos, but I also commonly get requests from clients who have had chest surgery due to gender reassignment surgery. Another common request is from clients who have had a breast lift, reduction, or augmentation done.

Q.
How long and how many treatments do I need for a 3D nipple tattoo?
A.

The total procedure takes approximately 2.5 – 3 hours, which includes reviewing your medical history, procedural information, photos, color selection, aftercare instructions and answering your questions. The entire process generally takes 2 - 3 sessions each scheduled 6 - 8 weeks apart.

Q.
Do 3D nipple tattoos hurt?
A.

No. 98% of the time there is no pain in the reconstructed breast. For the other 2%, a topical anesthetic will be applied so there is little to no pain.

Q.
How does the design process for 3D nipple tattoos work? Do I get to choose the color and size? Do you do unique designs?
A.

All of my clients get a custom areola and nipple design. I do not use stencils so each one is unique. Once we've decided on a design you are happy with, I will draw impermanently on the area so you can visually see and choose the color and size. Finally, I will add dimension with color and shading techniques, giving you a realistic areola and nipple.

Some clients want to be a little adventurous and request a heart-shaped or star-shaped areola, which I would be happy to do for you! If you have other design requests, let me know and we can discuss what will work best for you.

Q.
What happens after the 3D nipple tattoo session?
A.

After the session, the area will be covered with a waterproof dressing for protection. There should be no down time with this procedure and you should be able to resume most of your normal activities right away with a few restrictions: No vigorous exercise for the first 24 hours and no swimming or soaking in a bath or jacuzzi for 14 days after the procedure.

Q.
Will the needle puncture my implant?
A.

No, the needle only goes into the superficial dermis and will not affect the implant.

Q.
Will my insurance cover 3D nipple tattoos?
A.

The 1998 federal mandate, the Women’s Health and Cancer Rights Act, requires most group insurance plans to cover breast reconstruction costs, which includes medical tattooing. Contact your insurance company for specific details about your coverage. The initial payment is out of pocket and I will provide you with a superbill (a specialized receipt), which will document the performance of the procedure and the cost. The superbill can then be submitted for any potential reimbursements you may have access to. Some insurance companies will require pre-authorization, which you can initiate prior to treatment.

Brow Tattoos and Eyeliner Tattoos: Microshading & Microblading (Eyebrows), & Eyelash Enhancement

Q.
What is the difference between microblading and microshading?
A.

Microshading is less traumatic on the skin compared to the manual microblading technique and can be done in two ways. A machine and fine needles are used to create either a soft-shadow look, or a machine and a single needle is used to add soft shades that mimic hair lines. Both of these soft shading methods are suitable for almost all skin types and this technique will provide a smudgeproof and waterproof eyebrow for 1 - 3 years depending on a person's skin type and lifestyle.

Microblading is only suitable for a small number of people. A hand tool is used to implant the pigment into fine, thin lines, which mimic natural eyebrow hair. The pigment tends to expand in the skin, fades quicker, and will typically require a re-pigment boosting session on an annual basis.

Q.
What is eyelash enhancement (eyeliner tattoo)?
A.

To create the visual effect of full and lush lashes, pigment is inserted in between the lashes, creating a permanent eyeliner.

Q.
Are brow tattoos and eyeliner tattoos safe?
A.

Yes, permanent makeup is safe if your artist is strictly following the proper guidelines. I follow the same sanitation and sterilization procedures as nurses and doctors at hospitals, and also follow the guidelines issued by the State of Hawaii Department of Health and the CDC (Centers for Disease Control and Prevention).

The risk of an allergic reaction or complication is very low especially since this industry is heavily regulated. All of my pigments are FDA-approved and EU-approved and meet the safety, testing, quality, and manufacturing requirements.

NOTE: There are a lot of good and bad results floating around on social media regarding microblading. While the process itself is safe, it is only a good idea for a small number of people. Only about 10% qualify as a good candidate for microblading. I highly recommend the microshading method as it is less traumatic for your skin.

Q.
How long does the brow tattoo and eyeliner tattoo sessions take?
A.

Microblading and microshading take anywhere between 2.5 to 3 hours. For eyelash enhancements, single-lid enhancements takes 2.5 hours and double-lid enhancements take 3 hours.

Q.
How long do the brow tattoos and eyeliner tattoos last?
A.

Microshading: This procedure can last anywhere from 1 - 3 years depending on the individual's skin type, lifestyle, and other variables.

Microblading:
The pigment tends to expand in the skin and fades quicker compared to microshading. A boosting session for repigmentation is recommended to be done on an annual basis.

Eyelash Enhancement: A boosting session for repigmentation is recommended to be done on an annual basis.

Q.
How long does it take for brow tattoos and eyeliner tattoos to heal?
A.

Permanent makeup generally takes about 25 - 30 days to heal. I will provide you with an aftercare guide customized for your permanent makeup treatment.

Q.
How much do touchup treatments for brow tattoos and eyeliner tattoos cost?
A.

Microshading:
Within 12 months: $100
Between 1 - 2 years: $150
More than 2 years: Full price

Microblading:
Within 6 months: $50
Between 6 - 12 months: $100
Between 1 - 1.5 years: $150
More than 1.5 years: Full price

Eyelash Enhancement:
Within 12 months: $90 for single lid, $150 for double lid
More than 1 year: Full price

Q.
Does getting a brow tattoo or eyeliner tattoo hurt?
A.

A topical anesthetic will be applied so there will be little to no pain.

Q.
What can I expect during the first session of a brow tattoo or eyeliner tattoo?
A.

After our consultation, I will take a pre-procedural photo (and a post-procedural photo) so that we can have a better idea about your face symmetry and document the outcome for any future procedures you may have. Every face is asymmetrical, but most people do not realize this until they have a closer inspection of their photos. It is important that we study your natural face lines and we work with your features as permanent makeup may highlight any asymmetries and/or imperfections.

The most important part of the session is sketching, drawing, and creating the right shape for your facial structure. I will work with you to create a mutually agreed upon and client-approved design, which will take about 30 minutes. Pre-numbing will take about 20 minutes and the tattooing will take about 1.5 hours.

Q.
Do 3D nipple tattoos, brow tattoos, eyeliner tattoos hurt?
A.

This differs with each individual because of different levels of sensitivity. Some people do not experience any pain while others require multiple anesthetic applications. Topical, effective and quick acting anesthetics are used before and during the procedure.

Q.
Can I get a 3D nipple tattoo, brow tattoo, or eyeliner tattoo while pregnant or nursing?
A.

No. Like traditional tattoos, there is a risk of infection and I do not perform any cosmetic tattoos during this special time as you nurture your baby.

Q.
How long do brow tattoos and eyeliner tattoos last?
A.

Your brow tattoos and eyeliner tattoos will fade over time depending on factors such as lifestyle, skin type, sun exposure, pigment selection etc. In general, a refresher appointment for microshading is recommended every 1 - 3 years. For microblading and eyelash enhancements, an annual touch up is recommended.

Q.
How old do I have to be to get a 3D nipple tattoo, brow tattoo, or eyeliner tattoo in Hawaii?
A.

According to the State of Hawaii's Department of Health, you must be at least 18 years old or older in order to be tattooed. I will ask for a picture ID if I believe you are too young.

Q.
Is microblading for me?
A.

Most likely not. Despite all the recent social media hype about microblading, only about 10% of my clients make good candidates for this enhancement. I highly suggest my microshading services as they are less traumatic for the skin and are just as pretty.

Q.
Is cosmetic tattooing different from standard tattooing?
A.

Cosmetic tattooing is softer and meant to look natural with pigments that gently fade over time. Body tattooing uses long-lasting ink as it is a lifelong investment. Pigment fading allows the artist to make changes to color and the shape as a client's natural coloration and facial features change over time.