Color Change After Paramedical Pigmentation of the Nipple–Areola Complex

by Science Editor
Medical Article

Choosing the correct colour for Nipple–Areola Complex tattooing, allowing for the colour changes that take place during healing is an essential part of performing Areola Tattooing .

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Color Change After Paramedical Pigmentation of the Nipple–Areola Complex.

Abstract: Reconstruction of the nipple-areola complex is the final process in breast reconstruction. Local flaps and paramedical pigmentation is one of the major procedures for this. However, fading after paramedical pigmentation leads to a color difference between the selected pigment and its color in the skin. The aim of this study is to make a proposition in color choice of paramedical pigmentation for nipple-areola complex.

METHODS: Our research focused on investigating the color changes over time after unilateral nipple-areola complex reconstruction using paramedical pigmentation in 25 patients to propose suitable color selections. We measured the color by spectrometer and conducted comparisons using the hue, saturation, and value (HSV) color space and the color space defined by the Commission International de L'eclairage based on one channel for luminance (lightness) (L) and two color channels (a and b) (L*a*b*)
Industry Significance Rating:

Informative - General industry awareness.


Aesthetic Plastic Surgery - 04/01/2018.

Authors: Tomita S, Mori K, Miyawaki T.
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Cosmetic and medical tattooist routinely face challenges in relation to the normal range of colour variations that can occur after tattoo services, the authors of this article have attempted to quantify the hue shift that occurred for their patients after Nipple Areola Complex Tattooing (NAC) utilising colorimetric sampling and reached the conclusion that a pigment with "less redness and more yellowness" was the "most appropriate color selection for this technique".

Naturally this would largely depend upon the underlying skin tones of the client/patient and as detailed in some of the articles in our colour series a wide range of factors can affect the final healed result of a cosmetic tattoo and pigment colour needs to be selected on an individual client/patient basis after careful consideration of the influencing factors.


Scientific Report, nipple areola complex, medical tattoo, colour change, hue variation, pigment selection, spectrometer


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