Unique Jobs at HUP
Most health-care jobs have 
When Mandy Sauler starting doing tattoos in her mother’s shop nearly 20 years ago, she never thought this skill would lead her to helping women recovering from breast cancer…. But that’s exactly what happened. As HUP’s micropigmentation specialist, she provides the final step for many women who underwent mastectomy and reconstructive surgeries, tattooing areolas to create a realistic three- dimensional appearance.
Many factors combine to make a natural-looking areola, Sauler explained. If the patient has a unilateral reconstruction, Sauler matches the tattooed areola with that of the remaining breast. But, with a dual reconstruction, she discusses with patients the best size and coloring for them now. For all tattoos, “I draw it on first to see how it looks in the mirror,” she said. “Then I mix up colors based on their skin tone and see how it looks on the patient’s skin.”
Once she and the patient are satisfied, she begins the tattoo process, using different-sized needles and multiple colors to create the desired effect. Although most women don’t feel any pain, “I can use topical anesthetic,” she said. Most tell her, “It wasn’t as bad as I thought.”
Some patients have a nipple created surgically but, for others, Sauler can create the illusion of a 3-dimensional nipple, which looks extremely lifelike. One woman wrote her a letter about when she went for a mammogram for her “new” breast: “The clinician, who does 20 to 30 mammograms a day, pulls a ‘marker’ off a strip and plants it right on the tattoo you gave me (my new nipple)…. The woman thought it was a genuine nipple at first glance.… I said, ‘That’s a tattoo’ and she was floored! She said that’s she’d never been fooled before. A heartfelt thanks for a job well done!”
When the process is completed, “I stand behind the patient as she looks in the mirror. Looking at their faces – it makes me feel so good. No one has a better job than I do.”
Sauler began her early training working on oranges. “I was eager to learn so my mom would have me practice on oranges or grapefruits. At the time, they were perfect because of the thickness of the skin and they’re round, like the curvature on most body parts,” she said. When she was 14, “I started saving the tattoos – in the freezer – to show friends!” Today, she said, tattoo artists can learn on fake skin or mannequins, which were not available back then.
To become skilled in medical tattoos, Sauler trained “with a medical tattoo artist who is also a painter,” she said. Medical tattooing has become a little more common, but early on, medical offices were given a machine to create the areola “which had some basic skin colors but they received no training. It looked like a flat circle,” she said “Now people realize it’s an art. I think it takes a least three years before a person can be comfortable working on skin – and be good at it.”
Sauler uses her skill to help other types of patients as well. For example, she can create eyebrows to frame the eye for patients with alopecia (which causes hair loss on some or all of the body). She can also camouflage scars. She recalled one person whose leg was seriously burned when she was a toddler and had always worn slacks to hide the scar. “Over time scars hypopigmate, which means they turn lighter,” she explained. Using multiple colors, Sauler camouflaged the scar. “She told me that she can now wear skirt and stockings.”
Do You Have A Unique Job?
Do you — or someone you know at HUP — have a job that seems unique in a health-care setting? If so, please let me know. Email [email protected].
Photo caption: Mandy Sauler carefully creates an areola tattoo on breast cancer patient Ginka Nikolov.
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I don’t think the title of your article matches the content lol. Just kidding, mainly because I had some doubts after reading the article. https://accounts.binance.com/vi/register?ref=WTOZ531Y
Thank you for your sharing. I am worried that I lack creative ideas. It is your article that makes me full of hope. Thank you. But, I have a question, can you help me?
Can you be more specific about the content of your article? After reading it, I still have some doubts. Hope you can help me.
Can you be more specific about the content of your article? After reading it, I still have some doubts. Hope you can help me.
Can you be more specific about the content of your article? After reading it, I still have some doubts. Hope you can help me.
I don’t think the title of your article matches the content lol. Just kidding, mainly because I had some doubts after reading the article.
Can you be more specific about the content of your article? After reading it, I still have some doubts. Hope you can help me.
Can you be more specific about the content of your article? After reading it, I still have some doubts. Hope you can help me.
Thank you for your sharing. I am worried that I lack creative ideas. It is your article that makes me full of hope. Thank you. But, I have a question, can you help me?
Your point of view caught my eye and was very interesting. Thanks. I have a question for you.
Your point of view caught my eye and was very interesting. Thanks. I have a question for you.
I don’t think the title of your article matches the content lol. Just kidding, mainly because I had some doubts after reading the article. https://accounts.binance.com/pt-PT/register?ref=DB40ITMB
Can you be more specific about the content of your article? After reading it, I still have some doubts. Hope you can help me.
Thanks for sharing. I read many of your blog posts, cool, your blog is very good.
Your article helped me a lot, is there any more related content? Thanks!
Thanks for sharing. I read many of your blog posts, cool, your blog is very good.
Your point of view caught my eye and was very interesting. Thanks. I have a question for you.
Can you be more specific about the content of your article? After reading it, I still have some doubts. Hope you can help me.
Your article helped me a lot, is there any more related content? Thanks!
I don’t think the title of your article matches the content lol. Just kidding, mainly because I had some doubts after reading the article.
Thanks for sharing. I read many of your blog posts, cool, your blog is very good.
Thank you for your sharing. I am worried that I lack creative ideas. It is your article that makes me full of hope. Thank you. But, I have a question, can you help me?
Thanks for sharing. I read many of your blog posts, cool, your blog is very good.
I don’t think the title of your article matches the content lol. Just kidding, mainly because I had some doubts after reading the article.