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What Happened to my Nipple-Areola During My Mastectomy?

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In most mastectomy procedures, the nipple is removed as part of the incision. Through the reconstructive process, whether it be implant or a TRAM muscle flap, the nipple-areola is gone.

There are several options to create a new nipple-areola complex should the patient wish. The easiest option would be a prosthesis, which is a plastic device that looks like a nipple. There are surgical options, such as a procedure where the skin is folded, revised, and brought together to create a projecting nipple. Another further option would be to tattoo or pigment the areola around the nipple. 

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