Areola-Nipple Enquiry First Name * Last Name * Pronouns Phone Number * (###) ### #### Email * Subject * Preferred Location * Paradise Tattoo Studio - Cheltenham Nuffield Hospital - Cardiff The Harbourne Hospital - Birmingham Future Dreams House - London Areola-Nipple Tattoo Type * Mastectomy surgery (breast cancer/BRCA) Gender affirming surgery Cosmetic surgery Natural enhancement/Heart shaped Other Details and dates of all surgeries and/or reconstructions * Details and dates of any treatments * Such as chemotherapy/radiotherapy Any previous Areola tattoo work? * Include dates and number of treatments Clinic Type * Private, self-funded Student Training Model (discounts apply) Would you like us to send your our free guide to areola-nipple tattooing? * Yes please! No thanks, I don't have any questions about areola-nipple tattooing No thanks, I've already got it Thank you!
