Tattoo or reconstruction? Sixteen-year trends in post mastectomy nipple areolar complex restoration in the United States

The authors investigate trends in the use of nipple-areolar complex (NAC) reconstruction and tattooing following mastectomy in the United States from 2007 to 2023. They found that both surgical NAC reconstruction and tattooing have declined annually, suggesting a shift in patient preferences and surgical techniques. These trends highlight the need for updated patient counseling and surgical planning to align with evolving reconstructive goals.