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Male Breast Reconstruction and Restoration.

Hello, beautiful people!

Have you ever heard of dermopigmentation to reconstruct or restore male breasts?

It may sound new, but it is not!

Areola dermopigmentation is a procedure sought by men who are dissatisfied with the shape and color of their areolas, who have scars on their areolas, and especially by those who have undergone surgeries that caused bodily changes such as total or partial removal of the areolas

As these situations generate physical and emotional damage, many men adhere to the technique to restore their confidence and self-esteem, maintaining their natural look.

Who's it for?

Most cases I see in my office for "breast reconstructions" are from men who have lost their areola due to complications in breast reduction surgery due to problems with:

Pseudo gynecomastia – the excessive breast enlargement in men due to the accumulation of fat in the region.

Gynecomastia – In this specific case, the increase is not related simply to fat in the region, but to an excessive increase in the male mammary glands, the vast majority, resulting from hormonal changes. Among the leading causes are exposure to anabolic steroid hormones, puberty, among others.

I also perform this procedure in breast cancer survivors. They are more uncommon due to the low incidence of breast cancer in men, and the lack of knowledge that makes male breast tumors take time to be noticed, being thus diagnosed at an advanced stage.

I have also performed simple breast restorations, where I usually correct asymmetries or just enhance the color of the areolas.


As much as it is a safe and effective technique, it is not recommended for people with uncontrolled diabetes, people who use anticoagulant drugs, have a history of keloids, or have lesions in the area, such as cold sores. If you have any questions, I recommend that you see your doctor so that we can be sure that the procedure can be safely performed.

Recovery and post-procedure care

The entire healing process takes around 45 days.

Recovery should be simple, comfortable, and completely painless. The first week is crucial to successfully fix the pigment. The only care is to keep the region clean, extremely hydrated, avoid heat and Bathing in the ocean or a pool. The client can shower regularly, provided that the water is warm. The area should be washed once a day with mild soap. The products recommended for aftercare tend to be more dense, such as oils and ointments, ensuring greater hydration of the areolas.

Number of sessions and Durability

On average, excellent results are achieved with two sessions. However, more complex cases may arise. I had a 72-year-old client with sensitive skin, where I needed more sessions to complete the reconstruction.

The durability varies from 12 to 36 months.

This variation exists due to the client's metabolism and lifestyle. Older men tend to have a faster metabolism resulting in greater durability. On the other hand, men who are more exposed to solar radiation will certainly notice the more significant fading of the pigment deposited on their areolas.

It is important to remember that touch-ups can be done eventually to maintain the color.

Below are answers to more specific curiosities and questions I received from followers and professionals in the field:

1. Is the procedure done in the same way as the reconstruction and restoration of female areolas

Fundamentally yes. The only difference is the type of shape, size, and design details.

2. Does it bleed while rebuilding the areola? Do scabs form during the healing phase?

I developed my own technique, the Iwama Sensitive, a delicate way to dermopigmentate. With it, customers do not bleed, and no scabs form. Ensuring comfort and peace of mind, valuing the integrity of the skin during and after the procedures.

3. Does dermopigmentation on the breasts hurt?

It does not hurt. It is very common to use topical numbing creams to ensure the client a greater comfort, even though sometimes the sensitivity has been lost after surgery.

4. Equipment and pigments that I use:

I love working with the Cheyenne rotary tattoo machine, 5MC, 3RS, and 1RL needles.

I use and love the world-famous brand Pink Ribbon series ink set. The kit has 16 different colors of ink, which allows me to achieve tones very close to the real areolar colors, whether they are dark or light.

I sincerely hope that this post has increased your knowledge about the fantastic reconstructive and repairing possibilities that dermopigmentation currently offers.

If you have any questions or issues that you would like to learn more about, leave your comment down below or on one of my social media platforms. You'll easily find me as I don't have any namesakes ;) Love and see you next week, Priscila Iwama.

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