In some cases of breast reconstruction nipple tattooing can be an option. Tattooing is a simple, fast procedure. If you are matching a new nipple areola to the existing breast, your plastic surgeon will mix various colors and shades to get the correct pigment. If you had bilateral reconstructions, your surgeon can use your preoperative photos to recreate the nipple color, or you can pick a new color that you like against your skin tones. As with any tattoo, the pigment will fade in time. Getting the right shade of color may require more than one tattoo procedure.