Areola reconstruction is mostly done by grafting or intradermal paramedical pigmentation from the upper inner thigh or contralateral areola. Quite a few authors have claimed that tattooing is the best technique among the areola reconstruction procedures to provide color and create a more natural presence. Skin grafting continues to be a significant technique worldwide; tattooing is deemed an efficient areola reconstruction procedure, but for optimum results, experience, frequent monitoring, and special medical equipment are necessary.

Areola tattooing is a major alternative to reconstruction. Tattooing itself or in combination with skin grafting might provide an exemplary areolar color that suits with minimal morbidity. It is possible to use paramedical pigmentation (tattoo or permanent makeup techniques) following surgery, accident, or disease, which enables the areola to be restored to the previous original color toning. The scale, color, and nipple-areola position can be freely changed by paramedical pigmentation without the need for donor tissue; these are the greatest advantages of the tattooing technique.

The popular method before the use of paramedical pigmentation for the reconstruction of the areola by tattooing would be the use of split and full volume skin grafts from various donor locations, such as contralateral regular areola, retro-auricular skin, labia minora, and inner thigh.

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