After 5 Failed Breast Reconstructions, Getting a Tattoo Over My Scars Helped Me Heal (2024)

After 5 Failed Breast Reconstructions, Getting a Tattoo Over My Scars Helped Me Heal (1)

Erin Burnett, 36, got her mastectomy-scar tattoo more than three years after being diagnosed with stage II, triple-positive, invasive ductal carcinoma at 28. The breast cancer treatment and mastectomy she needed to save her life had done a number on her confidence. For years, she didn't feel like her body was her own, and her scars just reminded her of the trauma it had been through. But when she realized she could get a tattoo over the scars that reminded her of what she'd lost, everything changed. Here, Burnett shares how her mastectomy-scar tattoo helped her regain her confidence and take back her body.

When I got my breast cancer diagnosis, it had metastasized to my lymph nodes, and my skin was damaged during the radiation treatments, limiting my options for breast reconstruction.

I chose one of the few options I was given, to reconstruct with what are known as "tissue expanders," which are placed to increase the amount of tissue left over to support a future breast implant. Little did I know the expanders would be rejected by my body; I had them removed and replaced several times, and I attempted to reconstruct five times. While recovering from one of my last hospital stays and rejections, I came across these beautiful mastectomy tattoos online that I had never considered as an option before. I did some research and found an organization called Personal Ink on Facebook and learned I could apply for a free mastectomy-scar tattoo.

After 5 Failed Breast Reconstructions, Getting a Tattoo Over My Scars Helped Me Heal (2)

I decided to go for it and told myself that if I was selected, I'd stop trying to make the expanders work. I was overjoyed when they called me and said I'd been chosen; I felt like I was on Oprah. My next surgery, I had my expanders removed and I didn't have them replaced.

Soon, I was matched with an artist, Sal Tino, who was kind enough to donate his time and talent for my tattoo. I told him I love peonies and have always been fascinated by how they open up when they bloom. I sent him photos of those flowers and told him that I wanted a bright, watercolor-style image, and he worked with me to bring it to life.

I remember the general experience of getting the tattoo more than I remember the pain that came with it. That day in October 2019, I showed up to the tattoo shop, and I was greeted by volunteers and local leaders who had these wonderful big smiles. There were other recipients there who'd gone through a similar journey, and they seemed just as excited and scared as I was. That day, we let our guards down with each other. As we bonded over our journeys, I felt like I was making lifelong friendships with some of them after just one day, creating a new sort of family. We did a Champagne toast before the needles came out, and then we were off with our tattoo artists, who we'd spend at least eight hours with that day. All of the mirrors in the room were covered with black paper, so we wouldn't see the finished product until the end.

While some people are numb from their previous surgeries and can dissociate during the tattoo process, I couldn't. I felt everything. It can be very traumatic and emotional for your body to be lying on your back, in the same position you were in when you got your mastectomy. Your body has this emotional muscle memory, recalling what happened to you the last time you were in this position. It was difficult to be there again, considering the last time I was lying like that, my general surgeon was holding my hand and telling me she was about to go in and get all of the cancer out of my body. But I got through it by telling myself, "Today, I get to take back my body. Today, the cancer doesn't get to have the last word. Today is for me." At the end of the day, everyone circled around me for my reveal. I stood in front of a mirror, they dropped the cover on it, and I opened my shawl, seeing it for the first time. I was crying and in absolute awe, absorbing all of the positivity and emotion around me.

After 5 Failed Breast Reconstructions, Getting a Tattoo Over My Scars Helped Me Heal (3)

Honestly, I was in shock. For the first time in a long time, I felt excited to see my body. When you go through surgeries and radiation and infections, what you see when you look in the mirror can be scary. It brings back hard memories and is a constant reminder of what you've been through. But my tattoo made me feel confident in a way I hadn't since before my mastectomy in May 2016.

Today, I hold my head up higher because of it. The tattoo I chose crawls up onto my shoulder, and I always tell people, "My cleavage is more beautiful than yours." I let it hang out, and I get a lot of questions. People tell me, "Wow, your tattoo is really cool." And I'm proud to tell them, "It's so much more than what you think it is." I can pull down my shirt and show them the full tattoo and all of the scars. I had a lot of muscle and tissue removed, and I'm a bit deformed, but it's all covered by this beautiful peony. Now, it's almost like these battle wounds I get to show off to the world.

This tattoo has been life-changing for me. Before, I was going through this dark and painful period. I'd gotten through what everyone said was the hard part, which was the active treatment. But in my mind, the active treatment was easier; you take it a day at a time. You show up; you go through chemo, radiation, and surgery. You just have to. But the healing and trying to be comfortable with the person you've become afterward is hard. People say to you, "You're good now, right?" And you're not, emotionally or mentally. You have this shell of a body that doesn't feel like it's yours. And you're just expected to walk through the streets and be this woman you were before — but you're not. You're someone different, and you've got to somehow find comfort in your own skin. You have to fall back in love with your body, because it's not the same. The artwork helped me do that and be proud of my body again. I suddenly stood differently. I wasn't closed off and hunching in to hide my chest. I was shoulders back, walking tall. It changed who I was. My family and my kids, young boys who you think don't notice anything, could even tell that I was happier. Now, when I look in the mirror, I don't see ugly scars — I see beautiful artwork and bravery.

— As told to Molly Longman

This interview has been condensed for length and clarity.

After 5 Failed Breast Reconstructions, Getting a Tattoo Over My Scars Helped Me Heal (2024)

FAQs

Can you tattoo over breast scars? ›

If you would like to further conceal the scars you have from a previous breast reduction, some patients choose to disguise their incision lines with a tattoo. Dr. Zemmel tells these patients that tattoos over visible scars can be a great cosmetic solution.

What happens if you tattoo over a scar too soon? ›

Sperling adds, "Tattooing over a scar can be more painful compared to normal skin. It also may not heal appropriately and outcomes may not appear as expected due to the scar tissue. The scar may also worsen and become more exaggerated due to the tattoo traumatizing the scar even further."

Can you cover a surgical scar with a tattoo? ›

Surgery scars are usually precise incisions that leave minimal scarring. These scars are best worked into the edges of a tattoo to minimize their appearance. But you can also tattoo right over them, as is commonly done with mastectomy scars — as long as they're healed first.

Can you tattoo over-top surgery scars? ›

Wait Until the Scar is Fully Healed

A scar needs to be fully healed before you can get a tattoo to cover it. A tattoo adds stress to the skin and can increase the chances of infection on unhealed scars.

How to cover-up scars permanently? ›

There are also some medical treatments and over-the-counter (OTC) options that can help reduce the appearance of scars.
  1. Silicone gels or sheets. Silicone gels and sheets can be used on healing skin, not open wounds. ...
  2. Steroids. ...
  3. Laser therapy. ...
  4. Dermal fillers. ...
  5. Chemical peels. ...
  6. Subcision. ...
  7. Punch excision. ...
  8. Microneedling.
Mar 21, 2022

How to know if a scar is fully healed? ›

Scar Process

It will take six to 18 months for the scar to have its final appearance. Your scar should gradually soften and fade over these six to 18 months, but will look pink initially (photo B). Some scars never fade. If your scar stays pink after 12 to 18 months please call to discuss options.

Why does tattooing over scars hurt more? ›

For some people, depending on the depth and size of the scar, it could make the tattooing process more painful. Scar tissue can become very aggravated during tattooing, and fresher scars are often more painful than others.

What does an atrophic scar look like? ›

What Are Atrophic Scars? An atrophic scar develops when the skin cannot regenerate tissue correctly. Unlike keloids and hypertrophic scars, atrophic scars are indented in appearance due to healing that occurs below the expected layer of skin.

Will an overworked tattoo heal? ›

Overworked skin will heal terribly. and it will cause ink to fall out of the tattoo. If you haven't gotten a tattoo to where you want it. in those two passes, it's important to let the skin heal.

Do scar cover-up tattoos take longer to heal? ›

Things to consider in planning your scar cover-up

Typically, scars that are red or pinkish still need time to heal; tattooing over a scar at this stage will cause damage to the healing layers of skin and further slow the healing process.

What is a blown out tattoo? ›

Tattoo blowouts occur when a tattoo artist presses too hard when applying ink to the skin. The ink is sent below the top layers of skin where tattoos belong. Below the skin's surface, the ink spreads out in a layer of fat. This creates the blurring associated with a tattoo blowout.

How to flatten keloid scars naturally? ›

There are no proven methods of removing keloid scars naturally. Some clinical studies have shown that onion extract used orally or on the skin might possibly be effective in improving the appearance of keloid scars and reducing itchiness and discomfort.

What is the best treatment for top surgery scars? ›

Silicone-based scar treatments and scar massage – Recommended 3 weeks after surgery to regulate the scar formation process. Silicone tape or gel creates a protective barrier, keeping the scar moisturized and soft. Additionally, scar massage aids in flattening and smoothing out the developing scar tissue.

Do breast reduction scars go away? ›

Breast reduction scars don't completely disappear. They may change in size and blend in with your natural skin tone over time. While your scar won't go away completely, it can fade enough to where you don't even notice it on your skin. Surgeons will hide incisions to minimize the appearance of scars.

Does surgical tattoo removal leave a scar? ›

Surgical tattoo removal is effective — but it leaves a scar and might be practical only for small tattoos.

What scars can you not tattoo over? ›

Not Suitable for All Scars: Some scars, particularly those that are raised (hypertrophic) or keloid scars, may not be ideal candidates for camouflage tattooing. Maintenance: Tattoos require care and maintenance, including sun protection and potential touch-ups, to ensure they continue to look their best.

Does insurance pay for mastectomy tattoos? ›

This means that nipple tattooing is a covered benefit for many women undergoing breast surgery. However, it's important to note that not all insurance plans are created equal, and coverage can vary depending on your specific plan.

How much does a mastectomy tattoo cost? ›

Since that time, Allen has done numerous mastectomy tattoos on women whose ages span from 31 to 66. The tattoos range in price from $850 to $2500, and the process from beginning to end can take several hours and multiple visits.

Can you tattoo skin color over a scar? ›

Scars should be fully mature before camouflaging them. Generally speaking, it is best to wait at least a year before starting the tattoo process. Certain scars may respond better to “inkless” tattooing.

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