Q: I had a bilateral mastectomy in 2019. I am looking forward to the last stage of reconstruction, nipple tattooing. Do you offer online consultations? I live in Warner Robins and am having a difficult time finding a place with references for the nipple tattooing. I have had 7 surgeries and am very concerned about something going wrong with this last stage. I chose to go the path of silicone implants. Unfortunately, my body rejected the expanders and I ended up going the route of Diep flap. A: Yes ma’am we do telemedicine consultations. We serve women from all over the United States so telemedicine is a must. We can answer your questions about that procedure. We have an artist who comes to us once a month and does our 3-D tattooing. Our surgeons also do procedures to recreate the nipple if you prefer to have projection. Nipple reconstruction and/or tattooing can be done under local right here in our office. It might be the easiest procedure you’ve had.  We see many women who have failed implant reconstructions and DIEP is a great solution to that problem. We’ve been doing natural tissue reconstruction procedures here in Charleston SC since 2002.   -Gail