Oncological Cases
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What is Areola Micropigmentation
Areola micropigmentation is not conventional tattooing. It is a minimally invasive, medical-grade procedure that uses specialized needles to implant pigment with clinical precision — restoring the natural appearance of the areola and nipple complex after mastectomy.
- Uses a medical-grade needle — not a tattoo machine. Pigment depth and technique are clinically controlled.
- Specifically developed for post-mastectomy and post-radiation skin — with protocols adapted to oncological healing.
- Restores areola color, shape, and symmetry permanently — bilateral or unilateral, flat reconstruction or with nipple projection.
- Performed exclusively by Roberta Peixoto — 500+ oncological cases, 15+ years of specialized practice, international recognition.
- No surgery required. No hospital stay. Minimal recovery time.
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For Healthcare Providers: RmonyCare addresses the aesthetic and emotional recovery that falls outside your clinical scope. Referring a patient is simple — a brief mention is all it takes. We handle everything from there.
WHO IS THIS FOR
Is This Right for You?
Not every patient is ready for micropigmentation — and that's okay. The right timing matters as much as the procedure itself.
GOOD CANDIDATES
- Post-mastectomy women, 12+ months post-surgery
- Unilateral or bilateral — both cases addressed
- Patients who have completed radiation and are fully healed
- Women with surgical reconstruction wanting color correction
- Physician has confirmed readiness for the procedure
CONDITIONS THAT MAY DELAY OR PREVENT
- Less than 12 months post-surgery or active healing
- Active oncological treatment in progress
- Unresolved skin complications at the procedure site
- Physician has not yet confirmed readiness
- Blood-thinning medications without physician approval
KEY BENEFITS
What Areola Micropigmentation Gives You Back
Permanent. Non-surgical. Clinically performed with oncological expertise — for women who are ready to feel whole again.
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01 - Long-Lasting Result
Permanent result. Maintenance every 2–3 years to keep pigment at its best.
02 - Non-Surgical
No incisions, no anesthesia, no hospital stay.
03 - Natural Color & Symmetry
Pigment matched to your anatomy and skin tone — bilateral or unilateral.
04 - Oncological Expertise
Specialist with 500+ oncological cases.
05 - Quick Recovery
Back to your routine the next day.
06 - Emotional Restoration
Completing your physical form is part of recovery. This is the final step.
THE PROCESS — STEP BY STEP
How Areola Micropigmentation Works
Every stage is designed around one goal: your confidence and safety. Here is exactly what to expect.
01 · Consultation
A one-on-one conversation with Roberta — in person or online. Assessment of your stage, and desired outcome. Before scheduling, confirm with your physician that you are ready for the procedure.
02 · Design & Procedure
Roberta maps areola shape, diameter, and pigment color to your anatomy. The procedure is minimally invasive, under topical anesthesia — 1.5 to 3 hours depending on complexity.
03 · Healing & Touch-Up
Total healing takes around 6 weeks. The first 7 days are the most sensitive — normal and expected. A touch-up session is included between 6 to 8 weeks, once the skin has fully settled.
04 · Maintenance
Results are long-lasting and semi-permanent. A maintenance session every 2–3 years is recommended to refresh pigment intensity as skin naturally evolves. Optional.
PORTFOLIO
Real Cases. Real Outcomes.
500+ oncological cases. Every result achieved with clinical precision and personalized pigment matching.
PRICING & BOOKING
Investment Range
$850 – $1,750
Final investment determined at consultation based on complexity, area, and case specifics.
Every session includes a touch-up appointment and is performed personally by Roberta Peixoto — an internationally recognized specialist with 500+ oncological cases and 15+ years of practice. This is not a standardized procedure. Every result is individual, precise, and permanent.
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Insurance Coverage: Insurance note: Under the Women's Health and Cancer Rights Act (WHCRA), plans covering mastectomy may also cover areola micropigmentation. Eligibility varies by plan. Confirm with your insurer before booking. Full details in the FAQ.
Book Your Appointment
Begin with a free consultation. Roberta will assess your case, confirm whether you are ready, and answer every question — before any commitment.
BEFORE YOUR PROCEDURE
What to Confirm Before Booking
A few things to confirm before scheduling — each one exists to protect you and ensure the best possible result.
- Minimum 12 months post-mastectomy surgery
- Full skin healing at the procedure site
- Radiation therapy completed, if applicable
- No active oncological treatment in progress
- Disclosure of current medications, especially blood thinners
- Medical clearance — confirm with your physician that you are ready
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Not sure about your readiness? Bring your questions to your free consultation with Roberta — she will help you understand exactly where you are in your recovery and whether now is the right time.
THE SPECIALIST & FOUNDER RMONYCARE
Roberta Peixoto
Oncological Micropigmentation Specialist & Prosthetic Expert
- 15+ Years of Experience
- 500+ Areola Reconstruction Cases
- International Trainer and Educator in Oncological Micropigmentation
- Creator of RmonyCare — Innovative Nipple Prosthetic Solutions
- Founder of the Roberta Peixoto Academy, Brazil
- International Speaker and Master Trainer AMIEA
- Jury Member and Speaker in 20+ countries
- Author of Scientific Articles on Areola Reconstruction
- Awarded US Green Card for Extraordinary Ability
- Fluent in English, Spanish, and Portuguese
- Based in Dallas, TX
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FAQs
Everything You Need to Know Before Booking
This section is here to remove any doubt before you take the next step. If you still have questions, don´t hesitate to contact us.
Is areola micropigmentation the same as a tattoo?
No. Areola micropigmentation uses a medical-grade needle with specialized pigments developed for post-mastectomy skin. The technique, depth, and protocol are entirely different from conventional tattooing. It is a minimally invasive clinical procedure.
Can this be done if I don't have a nipple?
Yes. Micropigmentation can be performed on flat reconstruction and still produces a natural, 3D result through shading and precision pigment placement.
Can I have this done if I've had radiation?
Yes — many of Roberta's cases involve post-radiation skin. Radiated skin requires special assessment and technique. Your consultation will evaluate the state of your skin and confirm whether the timing is right for your specific case.
Do I need to do anything before booking?
Yes — a few simple things. You should be at least 12 months post-surgery, fully healed at the procedure site, and have confirmed with your physician that you are ready. Your consultation with Roberta will verify everything before any commitment is made.
Is the procedure painful?
Topical anesthesia is applied before the procedure. Most post-mastectomy patients have reduced sensation at the site, which can further minimize discomfort. Comfort levels are discussed in detail during your consultation.
What is the healing process like?
Total healing takes around 6 weeks. The first 7 days are the most sensitive — this is completely normal and expected. A touch-up session is included between 6 to 8 weeks, once the skin has fully settled and the final color is established. Aftercare instructions will be provided to clients for best results.
How long do the results last?
Results are permanent. A maintenance session every 2–3 years is recommended to refresh pigment intensity as skin naturally evolves. This is optional.
How long does the procedure take?
Approximately 1.5 to 3 hours, depending on complexity, bilateral or unilateral, and the level of detail required for color matching and symmetry.
Does insurance cover areola micropigmentation?
It may — and it's worth checking before you book. Under the Women's Health and Cancer Rights Act (WHCRA), U.S. insurance plans that covered your mastectomy are required to also cover prostheses and reconstruction as part of post-mastectomy care. Areola micropigmentation may qualify under this coverage.
Coverage is not universal and eligibility varies by plan, insurer, and individual case. When approved, reimbursement may be partial and may not cover the full investment. The relevant billing codes for areola micropigmentation are CPT 11920, CPT 11921, and CPT 11922 — your insurer will need these to process a claim.
To support your reimbursement request, RmonyCare provides a ready-to-use letter of medical necessity for your physician's signature, along with a detailed receipt with the applicable billing codes. Your physician signs the letter, you submit both documents to your insurer, and they process the claim. Contact your insurance provider directly to confirm whether your plan covers this procedure and what additional documentation they may require before booking.
Do you see patients from out of state or internationally?
Yes. RmonyCare serves patients across the US and internationally. Online consultations available in English, Spanish, and Portuguese. Travel logistics can be discussed during your consultation.