This is a simple procedure to recreate a nipple in patients who have no nipple as a result of mastectomy, trauma or congenital absence. Rearranging skin from the surrounding area creates the nipple mound. This is called a local flap. The nipple and surrounding area will be tattooed at a later stage to form the areolar. Thus there are no obvious scars from this technique. If the nipple reconstruction is performed on its own it is a local anaesthetic procedure (you will be awake) but if other work is planned at the same time, it may be done under general anaesthetic (you will be asleep). Tattooing is carried out 3 months after the nipple reconstruction, when the scars have settled.