Areola tattooing is performed after breast reconstruction has been completed. Areola tattooing/Top surgery is an invasive procedure of placing pigments under the skin, which gives the illusion of a 3D areola. This treatment is also a great way of adding color for clients who have lost color from menopause. treatment and cost will be determined at time of consult. some options include insurance reimbursement offering at no cost and the pay it forward donation.