Hi Chris, I am so sorry I am late in replying... life is a bit crazy atm.. When I had the reconstruction in Sept last year, I had it in conjuction with the mastectomy. I had what was called a skin saving mastectomy and then had a tram flap reconstruction... the surgery was a very long one but for me, it worked out really well. I had a few hiccups along the way... developed a 9 cm haemotoma but thankfully that is all gone now . :) I had the choice of using implants for the reconstruction but I opted to using my own stomach tissue. In February I had the nipple reconstrucion done... Chris, the result is nothing short of amazing.. The surgeon I had is brilliant and he has made the nipple appear so real.. He used my existing skin to make the nipple ... there is a scar that goes either side of it...but now I have had the tattooing done, it is invisible. I was awake throughout the whole nipple reconstruction... it really only took perhaps 3/4 hr all up in time. The tattooing I had done yesterday and once again I am thrilled with the result. The areola is a tad darker than my left breast but in time it will fade as the doctor used natural pigments not ink to make the colour. I go back in 3 weeks for a check and colour 'top up' if needed. My breast is still covered with scars but all in all, I am so glad I had the reconstruction, the nipple reconstruction and the tattooing done. If you need to chat about anything or would like to know anything , please dont hesitate to ask. I would love to help in any way if I can. Please take care, Michelle xxx