Some women do not wish to have a nipple recreated immediately. The options available are increasing. Occasionally, the cancer is away from the nipple and very small in size. This may mean that the nipple itself may be used as a reconstruction. The other options are that skin from elsewhere in the body may be used. The skin can be tattooed or shaped to be similar to the other breast. This may be done at the time of the breast reconstruction or at a later date.
Many women do not feel that they want a nipple at all. They prefer to have an acceptable "mound" to put in their bra and not have to wear a prosthesis.
How is Paget's disease of the nipple treated?
Breast - Nipple changes and discharges