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A Malaysian Tattoo Artist's Guide For Breast Cancer Survivors To Rebuild Their Confidence

Everything you need to know before getting an areola or nipple tattoo.

Cover image via Andrew Ong (Provided to SAYS) & Michelle Leman/Pexels

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After a mastectomy or breast reconstructive surgery, many breast cancer survivors may choose to get an areola and nipple tattoo

This isn't just about appearance — for many, it's a significant step in their healing process, helping them feel more complete and confident in their bodies again.

The process involves working with a skilled tattoo artist who carefully recreates a realistic image of the nipple and areola.

But ultimately, the decision to get this tattoo is deeply personal. Whether you decide to go for it or not is entirely up to you.

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An example of an areola and nipple tattoo. Image for illustration purposes only.

An example of an areola and nipple tattoo. Image for illustration purposes only.

Image via East Alabama Plastic Surgery

We recently spoke with Malaysian tattoo artist Andrew Ong to get a better understanding of the areola tattooing process and what you should consider if you're thinking about getting one:

SAYS: What does an areola and nipple tattoo mean for a breast cancer survivor?

Andrew: "Its significance is simple: it allows breast cancer survivors to have a 'nipple' again, even if it's not a real one."

Andrew Ong, who travels between Penang and KL, has done areola tattoos on breast cancer survivors.

Image via Andrew Ong (Provided to SAYS)

SAYS: What should I know before choosing to get it tattooed?

Andrew: "If you've only had one nipple removed, I usually recommend matching the tattoo to the original nipple's colour and shape, though this also depends on your skin tone.

"Generally, the fairer the skin, the easier it is to match. If both nipples are gone, I would work with you to suggest a suitable design based on your skin tone."

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An areola tattoo Andrew did on a breast cancer resection client.

An areola tattoo Andrew did on a breast cancer resection client.

Image via @andrew_inker (Instagram)

SAYS: Are tattooed nipples only for those who have had their nipples removed, or can people who have undergone a mastectomy and had their entire breast removed also get tattooed areolas?

Andrew: "A nipple tattoo is typically for those who have had the nipple removed. If the entire breast has been removed, then it also won't have a nipple.

"As long as the scar has healed well, it is still possible to tattoo it from a tattooing perspective."

Image for illustration purposes.

Image via cottonbro studio

SAYS: Are there any risks associated with nipple tattoos for breast cancer survivors?

Andrew: "Whether there are risks is a scientific question, and science tells you different things every year, so it can be an issue. 

"For now, it's best to consult with your doctor. My previous clients have mentioned their doctors said it was fine, and I've even been recommended by nurses from hospitals. But in general, only a small number of people seek out nipple tattoos."

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An areola and nipple tattoo done by tattoo artist Tanya Buxton from Paradise Tattoo Studio. Image for illustration purposes only.

An areola and nipple tattoo done by tattoo artist Tanya Buxton from Paradise Tattoo Studio. Image for illustration purposes only.

Image via Tanya Buxton/Paradise Tattoo Studio

SAYS: How long should I wait before getting tattooed areolas after a mastectomy or breast reconstructive surgery?

Andrew: "Please discuss that with your doctor."

SAYS: What do I need to prepare if I want to get areola tattoos as a breast cancer survivor?

Andrew: "We usually start with a consultation to help you understand the process. There's no special preparation needed — just get enough rest, eat well to keep your blood sugar up, and that's it. The procedure is carried out just like any other tattoo."

Aside from realistic areola tattoos, incorporating a stunning tattoo design, like this one by Jeniffer Sterry from Paradise Tattoo Studio, to help disguise any scarring can be another option.

Image via Jeniffer Sterry/Paradise Tattoo Studio

You can follow Andrew's Instagram here.

Visit The Pink Ribbon to learn more about breast cancer, raise awareness, and provide support to those who need it most!

Image via SAYS

We spoke with a breast oncoplastic surgeon about the benefits and risks of breast reconstructive surgery:

If it's your first time getting inked, here's what you should know:

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