I too am around 6 months post mastecomy and I am having a 'built up nipple' done this Friday. My plastic surgeon will be doing the twisted skin thing.. all done under local anaesthetic. Then in about 6 wks time I will have the tattooing to finish it off. I am a little apprehensive as I don't want to walk around with perpetual 'high beams'... my surgeon assures me this won't be the case and that all his patients who have this procedure are happy with the result. I will keep you all informed of how it goes!!! xx