Areola Restorative Tattooing by Terry Lively

Trusted by medical professionals across Texas for advanced paramedical tattooing.
Backed by decades in the industry and
countless completed procedures.
A leading referral choice for physicians and
surgeons throughout Texas.
Terry Lively is a San Antonio–based artist specializing in photorealistic nipple tattooing, advanced areola and paramedical tattooing. With extensive experience working on compromised and surgically altered skin, Terry is trusted for her precision, artistry, and compassionate approach to care.
Known as paramedical tattooing, this highly specialized work should only be performed by seasoned professionals with years of tattooing experience and advanced training in realistic 3D techniques.
You are invited to explore Terry’s portfolio of real areola restoration work and visit her blog, where she shares insights from her work with breast cancer patients—their journeys, healing, and results. The goal is to educate and empower patients to confidently seek out qualified, experienced artists for this deeply personal stage of recovery.
Terry's Areola Work

I have been performing medical and cosmetic tattooing in the San Antonio area for over 20 years. This work is deeply personal to me—my mother is a bilateral breast cancer survivor, and my grandmother lost her battle with breast cancer in the 1970s. Their journeys are a constant reminder of why this work matters.
My goal with every client is to create highly realistic 3D nipple and areola tattoos that help complete the reconstruction process and restore a sense of wholeness after surgery.
I am honoured to receive referrals from some of Texas’s most respected plastic surgeons, including PRMA Plastic Surgery, Dr. Elisabeth Potter, Baumholtz Plastic Surgery, Dr. Wendie Grunberg, Dr. Dallas Homas, Dr. Augustin Cornejo, along with several other surgeons across Texas.
Because areola restorative tattooing is a highly personal service and often comes with important questions, consultations are offered.
To schedule, please call 210-585-8410.

BROWS | EYELINER | LIPS

3D AREOLA | SCAR REVISION

ADVANCED 3D AREOLA
Terry is an SPCP-certified trainer with over 23 years of professional tattooing experience. She offers permanent makeup & paramedical tattoo classes in fundamentals, advanced, and specialty.
All courses follows the curriculum required by the Society of Permanent Cosmetic Professionals (SPCP). For more information on upcoming classes click the links below.

This advanced 2-day intensive is built for dedicated paramedical tattoo artists ready to master complex reconstructive cases through elevated technique, clinical insight, and precision-driven 3D artistry under the expert guidance of Terry Lively and Shanan Zickefoose.
DATES: 28 - 29 April, 2026
LOCATION: 2-Day Live Class in Tulsa
Advanced
Must have completed fundamentals
Training includes:
Required zoom sessions & coursework
2-day intensive hands-on
Post training support
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