Nipple reconstruction after mastectomy is a significant step in breast reconstruction, marking an essential milestone in recovery for many survivors. Understanding the process empowers patients to set realistic expectations. Typically performed 3-6 months post-breast mound creation, the procedure involves thorough consultations to determine suitable techniques and desired outcomes. Various surgical approaches exist, alongside non-surgical options like 3D tattooing. Recovery spans several phases, leading to improved body image and satisfaction. While optional, nipple reconstruction can enhance the aesthetic appearance of reconstructed breasts and offer psychological benefits, making it a vital consideration for many breast cancer survivors.