3 Day Advanced Areola Tattooing | Sauler Institute of Tattooing


This course is an an in-depth medical tattoo course that uses the skills of an experience tattoo artist, and applies them to medical tattooing. This is the most advanced medical tattoo course you can find teaching areola tattooing, and is held at Penn’s Perlman Building for Advanced Medicine, one of top teaching hospitals in the nation.

Prerequisites: Tattoo artist or permanent makeup artist with at least 1 year of experience, Bloodborne Pathogen, and HIPAA Certificated.


Our advanced training class aims to spread professional knowledge of medical tattooing for post-mastectomy breast cancer survivors. We have created a high-quality training that provides a dynamic process to create long lasting and realistic areola nipple tattoos. We had the honor of delivering these techniques to hospitals and medical offices internationally, such as:


University of Penn Medicine
Memorial Sloan Kettering
VCU Health
Northwestern Medicine
Laser & Medical Body Art Institute of Tampa Bay

Upcoming Dates

2024: Feb 28th-March 21st / March 27th-29th / May 29th-31st


The Sauler Institute Training Facility 
121 John Robert Thomas Dr. Exton PA 19341


PHL Airport 

Philadelphia, PA USA 


Class days: 9:30am – 5pm

Clinical days: 9:15am – TBD

*subject to change – based on estimated times*


We recommend looking into Airbnb for reduced rates.

Take note: we highly recommend staying in Exton, PA area


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3 Day Advance
Areola Tattooing


Learn proper shading

Create texture and dimension

Needle sizes and working with different machine

Color theory

Learning to work on every Fitzpatrick scale

Color retention VERY IMPORTANT

Clinical room setup




Understanding and seeing different types of implants and tissue expanders

Full understanding and examples of different types of flap reconstruction, such as DIEP, SIEP, Latissimus Dorsi

Learn how a nipple is reconstructed

Best way to implant ink in a reconstructed nipple

Videos of nipple reconstruction, tissues expansion and many other procedures being performed

Learn a simple way to color match a unilateral

Working in the skin with different types of scar tissue 

What to do when the skin has been radiated




Up-to-date medical tattooing forms



Content and information to take home

Tools to help you with your tattooing process (Sauler Nipple Kit)

Certificate of completion

Shirt included


Possible job placement in your city

HIPAA Certification




For Breast Cancer Clients


We are please to announce our partnership with Sharsheret Best Face Forward 2.0! This amazing organization provides services and subsidies for eligible individuals for non-medical services that are critical to a woman’s quality of life and body image, and that are only partly covered by insurance companies, if at all. Best Face Forward 2.0 services include financial subsidies for three-dimensional micropigmentation of the nipple and areola (tattooing). Every client can now be at peace knowing they are being referred to professional artist who is going to give them the best areola nipple tattoos. 


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.