A 3D areola tattoo is a “picture” of a nipple and areola on the breast or chest that is flat to the touch but looks real. 3D nipple and areola tattoos are real, permanent tattoos, applied by a skilled tattoo artist with needles that insert pigment into the skin. They are ideal for those who have just finished recovering from breast cancer treatment or masculinizing chest surgery (also known as “top surgery”). 3D areola tattoos can also be accompanied with surgically reconstructed nipples.