Photo © iStock

Areola and breast pigmentation

Improving the quality of life with advanced micropigmentation techniques

Micropigmentation can help patients (after any breast surgery, but especially after mastectomy) by concealing scars and performing optical areola and / or nipple reconstructions. From colour matching to a very realistic 3D colour pigmentation, different techniques are used to make the result look as real as possible.

Cosmetic pigmentations

Cosmetic pigmentations

Treatment techniques for
breast micropigmentation

In most cases, breast pigmentation is needed after a surgical procedure. Both, after surgery for breast cancer therapy (e.g. mastectomy), as well as after breast enlargement or breast reduction.

Treatments are effected mainly on:

  • Scars on and around the chest and breast
  • Scars around the areola
  • Colour matching areola
  • 3D reconstruction areola and mamille

The value of an areola and the nipple reconstruction is a not to be underestimated as it can contribute significantly to an improved sense of life – especially in the case of mastectomies.

It is important to note that, regardless of which breast surgery, pigmentation should take place at least a few months after the final procedure, when all tissues in the area are healed.

If pigmented too early, there is a possibility that the final result may not look harmonious as the breast will still changes due to swelling, redness and wound healing. Thus, pigmented areas can be distorted, which can lead to an asymmetrical and unnatural-looking result.

In many cases today, the client’s own nipple can be retained about breast surgeries, however, it may appear discolored compared to the healthy nipple. Here, a color matching pigmentation can be done. A camouflage specialist is familiar with this area and will be able to offer you different options. From the optical 3D reconstruction on a skin which is without nipple tissue to tissue which was obtained thanks to the so-called “nipplesharing” or tissue from other body parts (reconstruction of the nipple with tissue from other body parts which requires a pigmentation in natural looking skin colours to make it look more natural) – a 3D micropigmentation will give you back an as natural as possible looking breast.

– Before –

Photos © LONG-TIME-LINER® Russia, pigmentation after breast surgery

– After –

– Before –

Photos © LONG-TIME-LINER® Institute in Munich after one-sided mastectomy and reconstruction

– After –


In principle, all micropigmentation in a “medical” area should take special care that all tissues (skin / scar tissue) must be completely healed.

Specifically, this means that the prescribed rest period must be adhered to after surgery. Pigmentation should begin at the earliest after about 12-18 months after a medical procedure. However, this varies from case to case and can be assessed individually. For example, a scar must not be reddened, itchy and should no longer change when pigmented.

Before starting the treatment, especially during the camouflaging of disease-related surgical scars, the course of treatment should be discussed in a detailed consultation and the customer should be given all information on all of the products and ingredients used, so that she can have a medical consultation with her doctor. This is important in order to minimize irritation and risks of an adverse reaction due to, for example, any medication the customer still has to take to her illness. Additionally, the body can reacts differently to previously tolerated substances after undergoing medical treatments such as chemotherapy. Also, the treatment plan (including aftercare) should be discussed in collaboration with a doctor.

At LONG-TIME-LINER, for example, a mini-test treatment is performed before the actual full treatment over scar tissue. 3 weeks before the actual treatment, a small spot on the scar is pigmented and checked for any adverse reaction before the actual treatment so that we can see the tissue responds to micropigmentation and a better informed decision is made as to whether a treatment would be promising.

Training & Technology

In addition to the theoretical training that covers the above-mentioned challenges and teaches various techniques and the use of (camouflage) pigments, of course, the practical implementation is an integral part.

In this case, exercise mats and training breasts made of silicone are first implemented for practice. For example, at LONG-TIME-LINER® we never treat the nipple, but only the areola, as the nipple itself is far too sensitive to be pigmented.

An essential component for a realistic result is the achievement of a 3D effect. It takes a trained eye and a skilled hand to learn the 3D technique. This must also take into account that a micropigmentation on a healthy breast for a colour match, for example, requires a different technique than that on a reconstructed areola with or without nipple, as this cannot contract naturally as usual. In the case of a reconstructed areola with mamille, the latter is also pigmented, as a reconstructed nipple is insensitive.

Information & advice

Are you interested in a medical pigmentation and would you like to receive a free and non-binding advice on a treatment? Please contact us by phone +49 (0)89 24 20 90 – 0.

More about Long-Time-Liner

Are you interested in a permanent make-up?
Contact our Beauty Institute in Munich at:

LONG-TIME-LINER Beauty-Institute
Tal 18, 80331 Munich, Germany
Telephone: +49 (0)89 / 22 52 00

You already pigment and
would like to start a training or further education?

Under the following link you can find out about our entire TÜV certified training program: