If possible, a Nipple Reconstruction will be done at the same time as the Breast Reconstruction. However, if it can’t be done then, a nipple can be reconstructed at a later date. This is usually some time after the Breast Reconstruction has healed and settled into its final shape and position. This enables the Plastic Surgeon to position the nipple accurately, in line with the one on your other breast. Several techniques are used to reconstruct a nipple. In the first technique, skin on the new breast can be folded into a nipple shape – this is a nipple flap. In the second technique part of the nipple on the natural breast is removed and placed on the new breast – a nipple sharing graft. Both procedures are usually done under a local anaesthetic and you should be able to go home the same day.  Tattooing after Breast Reconstruction can also give the reconstructed nipple a very good appearance. It is usually done under local anaesthetic, using either a local anaesthetic cream or an injection. The procedure usually takes 30–40 minutes. You may decide that you don’t want to have another operation to make a nipple. In this case you could have a silicone stick-on nipple, which can be attached to the reconstructed breast. These can be bought ready-made, or made to match your other nipple.