Several techniques are possible. The one most satisfaying to me is the use of a skin graft withdrawn from the genital region for areola reconstruction, associated when possible to the opposite nipple graft after bipartition ( if there is enough volume). This technique has great results and leaves no sequels in the genital area. It causes no pain nor alteration of the sensivity to the nipple withdrawn. The areola coloration after a few weeks is the same as the opposite areola.

De gauche à droite : Région génito crurale Prélèvement aréole Mamelon controlatéral

From Left to Right :
Genital region – areola collection- Opposite nipple

De gauche à droit e: Greffes de l'aréole et du mamelon - Résultat à 6 mois

From Left to Right : Grafts of the areola and nipple
- Result after 6 months

If the coloration starts to fade with years, an additional tattoo can be done. That way, the result will look a lot more natural than a sole reconstruction with tattoo.

De gauche à droite : Reconstruction bilatérale par greffes pour les aréoles et lambeau local pour le mamelon Décoloration après quelques années Recoloration par tatouages

From Left to Right :
Bilateral reconstruction with graft for areolas and local flap pour the nipple fading after a few years
Recoloring using tattoos

If the opposite nipple is too small, nipple reconstruction can be carried out with a local skin flap that will necessarily be quite small for reconstructions with prosthesis, given the limited thickness available.

De gauche à droite : Reconstruction du mamelon par un lambeau local Résultat per opératoire après greffe de l’aréole Résultat à 6 mois

From Left to Right :
Nipple reconstruction with local flap
Result after surgery and areola graft
Result after 6 months

 

Others breast reconstruction techniques