Transgender Affirming with Tattooing - Sauler Institute of Tattooing



Gender affirming tattoo services are Paramedical and Cosmetic Tattoo services that can be utilized by transgender and gender expansive folks as another tool in transitioning and to experience gender euphoria.Every individual’s transition is unique and there are many Gender Affirming Tattoo services to align with each client’s desired goals.

Paramedical Cosmetic Tattoo procedures can camouflage surgery scars, perfect the look of the areola, fill in the hairline, and overall alter the appearance to create a more “masculine” or “femminine” look with the goal of alleviating gender dysphoria.

Cosmetic Tattoo procedures can additionally be used to aid transitioning and affirm gender for the transgender community. Various techniques of eyebrow, eyeliner, and lip blush tattooing can be performed to alter facial features and create an aligned vision with the client’s goals.

Areola, Scars, SMP, Brows, Eyes, Lips 



  • Micropigmentation is used to alter the shape, size, and/or color of the nipple(s) and areola(s) to the desired look.
  • This procedure can be done on the natural chest, as well as surgically altered chests after they are fully healed.
  • Scalp Micropigmentation (SMP) is a form of paramedical tattooing that can be done to add fullness, density, and restoration to the scalp and face.
  • SMP is using micropigmentation to create the small dots to give the look of hair follicles, making hair appear thick and full. This is done over multiple sessions in order to achieve a natural blend of density.

There are many techniques used for eyebrow tattooing

  • Microblading
  • Powder Brows
  • Nano Brows
  • Ombre Brows
  • Combination Brows (multiple techniques combined)

Using micropigmentation for eyebrows can be a very impactful tool to create a gender affirming appearance. The overall shape, size, placement, and density created can alter the appearance to a more traditionally “androgynous”, “masculine”, or “feminine” brow.

Eyebrows can be made to look more “natural” with hair strokes with either the microblading or nano technique, manicured and filled in like you have makeup on with the powder or ombre brow technique, or a combination of the two techniques to customize the individualized look.


Using micropigmentation on the lash line can create a more naturally full and dense appearance. The appearance of eyeliner can be created based on your eyeliner style of choice, whether it be a natural lash liner, or a sleek cat eye which can lend to a more “feminized” or “androgynous” appearance.


Scar Camouflage is the process of using skin color matched ink to restore skin color and improve the texture of scars making them blend in and become less noticeable if not entirely gone. This service is great to blend in and improve the texture of scars left behind from gender affirming procedures such as the following:

Transmasculine & Non-Binary Chest Masculization Top Surgeries

  • Periareolar / Circumareolar (Keyhole)
  • Double Incision
  • Inverted T
  • Buttonhole

Transfeminine & Non-Binary Chest Feminization Surgery

  • Breast Augmentation

Transfeminine & Non-Bionary Bottom Surgeries

  • Orchiectomy
  • Labiaplasty

Transmasculine & Non-Binary Bottom Surgeries

  • Metoidioplasty
  • Phalloplasty
  • Urethroplasty
  • Vaginectomy

Body Contouring

  • Liposuction
  • Etching

Facial Feminization (FFS) & Facial Masculinization

  • Rhinoplasty
  • Jaw recontouring
  • Forehead lengthening
  • Chin Augmentation
  • Cheek Augmentation

Tracheal Shave & Thyroid Cartilage Enlargement (Adam’s Apple Enhancement)


Hair Transplants

Micropigmentation can be used to alter the shape, definition, and color of the lips. Results can be subtle, camouflage scars, or copy the appearance of your favorite lip color. Ultimately, lip tint/blush tattooing is a phenomenal tool for affirming gender.

Our Work


Nipple Tattoos In Breast Reconstruction

Penn Hospital

Forms + After Care

+ Cosmetic After Care

Happy Clients!

“Monica, Starting with my first glance this morning in the Bathroom Mirror, and EVERY time since (I admit; I’ve been looking all day!) I have seen someone with gorgeous , youthful, beautifully shaped/colored/realistic eyebrows – instead of seeing someone with NO eyebrows who looks (had looked) like an Alien! It’s been SO wonderful! I LOVE THEM – each little perfect stroke/cut of ink! YOU ARE THE BEST!!!!!!!! Thank you! I feel extra fortunate that you continue to work and offer to clients/patients your Art/extraordinary Ability/Skills.”

“Thank you so much for the beautiful job and professional artwork you’ve created! You have made such a difference in my appearance, and my life! I’m so please with the outcome,and feel so blessed to have met you. Artist like you change lives with your gift.”

“I wish I had done this sooner. I can shower/dress so fast, now, that it no longer keeps me from working out or having fun because I might have to redo. I also was having difficulty seeing up close to apply my make-up. Sometimes my eyes sting when I’m out, and now I can just wash out whatever they are reacting to, powder and go. It is so freeing!! No more lip prints, raccoon eyes, smudges, or wearing off. And, I get to wake up with it all, too. Mandy even filled in some white spots/scars that I had difficulty covering (face/leg). It’s great! Mandy’s great, too. Very professional and personable. Big thanks.”

“Best decision ever. Now I don’t worry about putting makeup on them everyday like I had to before because I had a part for my brow that had no hair due to a surgery. I would recommend this to everyone. “

“Awesome experience!! Can’t wait to go back again.”

“I was very pleased with the results of my eyebrow enhancement. I found the staff to be very qualified and professional.”

“Mandy- you did my areola tatttoo(s) about three and a half years ago -don’t know if I ever thanked you but you did an AMAZING job – I could never thank you enough for making me feel normal again! ( I went to Dr. Wu’s office at UPenn) – I have even sent two friends to you- Thank you so much and have a wonderful week!!”

“Mandy is that wonderful combination of the health care professional and artist, whose skill makes a profound difference in the lives of our breast cancer patients,” says Joseph M. Serletti, chief of the Division of Plastic Surgery at Penn Medical School and head of HUP’s breast reconstruction team.”

“About 2 weeks ago I had a mammogram on my “new” transflapped breast. I have some fat necrosis that the doctors wanted to confirm was not cancer. So, I go into the mammography room at the breast clinic here in Harrisburg and present my breast to the clinician, who does 20-30 mammograms a day. She then pulls a “marker” off a strip and plants it right on the tattoo you gave me (my new nipple) on January 10, 2014 at Penn. The marker is enclosed and is a symbol of your expertise.

That tattoo is so realistic that the woman thought it was a genuine nipple at first glance. I said, “that’s not a nipple, that’s a tattoo” and she was floored. She said that she’d never been fooled before and wondered where I had found such a great artist.

A heartfelt thank you for a job well done!”

“Ms. Saulers is an incredible artist who creates amazing result. Her ability to blend colors and create a natural look is like no other. Her professional permanent cosmetic business is the only one I would recommend.”

“Ms. Sauler has been an amazing reference for permanent cosmetics to our cosmetic practice. Her professionalism and expertise in treating our referred patients has been wonderful. I would highly recommend her for any patient in need of permanent cosmetics.”

Save money. Be a model. 

Receive free scar or nipple tattooing by being a model for our next training class. Only a $50 supplies fee. 

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NY 917.587.4415
Email [email protected]

*Please keep in mind our artist schedule months in advance. A $100 deposit is required to schedule an appointment this is non refundable is you cancel with 24 hours of you appointment.

*Covid-19 Scheduling Hours: Monday-Wednesday 9:30am-3pm.