Some patients have unilateral (one side) mastectomy while others undergo bilateral mastectomies.  Some patients have immediate reconstruction (at the time of mastectomy) and others undergo delayed reconstruction.  Reconstruction can be done with implants or a patient’s own tissue.  The type of skin ((breast skin, abdominal skin (DIEP or TRAM), back skin (latissimus flap), buttock skin (SGAP) or thigh skin (PAP or TUG)) can take-up the pigment differently.  Radiated skin is delicate and can also take-up the pigment differently.   Nipple creations (either with C-V flaps or skate grafts) have more scar tissue and up take pigment differently. 

I have had the opportunity to tattoo all of these different patients and am happy to share their outcomes with you!