My tale of double mastectomy, chemo and hair loss, reconstruction via expanders and finally the new prostheses at age 65 is much like many I've read on this board. However I have been unable to learn much about the experiences anyone has had with reconstruction of the missing nipples. I have an appointment next Tuesday, July 1, with the university medical school connected plastic surgeon who has done all my surgeries in this connection to date. At first I told her that I saw no need for nipples at this stage of my life, but I allowed her to persuade me with facts like that my insurance covered it and everyone else does! Since I trust her completely and have been quite satisfied with her treatment I probably haven't learned as much as I should have about this final step. More than once she has referred to this procedure as something as simple as tatooing, to be done under local anesthetic right in her office. I did not know that customarily nipple reconstruction involves considerably more than that until I read some of the posts on this board. If possible I would appreciate input from anyone knowledgeable about this last phase of my reconstruction process. Has anyone else undergone tatooing only and been satisfied?