
Now clearer, balanced-looking skin is possible for every shade of beauty.
Because paramedical tattooing is highly customized, we start with a quick phone consultation to understand your goals, review your concerns, and set clear, realistic expectations for your results.
From there, we’ll outline your personalized plan—recommended timeline, estimated number of sessions, pricing, plus healing and aftercare so you feel confident every step of the way.
Paramedical tattooing is a simple way to help scars, stretch marks, and discoloration blend in. We custom-match pigment to your skin tone so everything looks more even and natural—no surgery needed.
It’s great for: healed surgical scars, injury/burn scars, skin grafts, hypopigmentation, and tone correction (stretch marks in select cases).
Camouflage Tattooing Can Help With:
Surgical + injury scars
Burns + skin grafts
Stretch marks (select cases)
Discoloration + pigment loss
Why clients love it: softer-looking scars, more balanced skin, long-lasting results.
3D Areola Restoration
Want a natural-looking areola again? 3D areola tattooing uses soft shading to recreate or enhance the areola/nipple—often after mastectomy, reconstruction, or pigment loss.
Our team understands how important it is to regain your confidence after a traumatic experience. Wether you're left with scarring from a medical or elective surgery, we are experts in camouflaging skin grafts, burns, and scars to help you heal. The professional paramedical tattoo artist at Beauty bu Design will work with you to ensure the best results in a compassionate and confidential environment.
A consultation is required to determine candidacy.
Our paramedical tattoo services are designed to restore a natural appearance and confidence following surgery, trauma, or medical conditions.
Using advanced techniques and medical-grade pigments, we specialize in areola restoration, scar camouflage, and skin tone correction. Each service begins with a private consultation to ensure personalized, safe, and natural-looking results.

Stretchmark camouflage can be done on any area and any skin tone, whether your stretchmarks are darker or lighter than your regular skin tone. If you have a lot, or just a little, our professional paramedical tattoo artists will work with you to ensure the best results in a compassionate and confidential environment.
Being a mom is tough enough as it is, so if the stretch-marks left on your belly bother you, let’s “erase” them using a tattoo you can think of as permanent concealer.

Radiation markers can often be a reminder of battling cancer and the uncomfortable treatment you went through. To put this illness in the past, we offer radiation marker tattoo camouflage
When you’re left with radiation markers on your body, we turn them into a freckle instead, allowing you to move forward and complete your healing process.

Skin graft camouflage involves using specialized, medical-grade, or cosmetic techniques primarily paramedical tattoing to blend the color and texture of grafted skin with surrounding tissue. This non-invasive procedure helps mask the often discolored, lighter, or mismatched appearance of donor and recipient graft sites, enhancing skin tone uniformity and improving patient confidence.
A professional inserts custom-blended, skin-toned pigments into the graft area.

Areola restoration tattooing is an advanced paramedical procedure designed to recreate the natural appearance of the areola and nipple following mastectomy, breast reconstruction, reduction, augmentation, trauma, or congenital conditions. Using specialized pigments and artistic techniques, a realistic 3D effect is created to restore color, dimension, and symmetry—often eliminating the need for additional surgical procedures.
At Beauty by Design, each areola tattoo is fully customized to complement your natural skin tone, breast shape, and personal preferences. Our approach is trauma-informed, discreet, and performed with the highest standards of hygiene and precision.
Restore natural-looking breasts and full confidence!
Areola and nipple tattoos are popular for breast cancer survivors who have undergone a mastectomy and are looking to restore the beauty of natural-looking breasts, individuals who have scarring from breast implants, individuals who are looking to affirm their gender, or anyone wanting to enhance areola shape or colour!
An areola and nipple tattoos requires two sessions followed by a final touch-up appointment, with each appointment about 6-8 weeks apart. The ink used in areola tattoos is permanent ink, just like body tattoos, so results will last forever!
*Physician clearance required. Surgery must be fully healed prior to treatment.

At Beauty By Design, we offer a curated selection of permanent makeup services designed to enhance your natural beauty and simplify your daily routine. Every treatment is performed with expert precision in a fully sanitized, licensed environment — because your comfort, safety, and satisfaction are non-negotiable.




With a foundation in both skincare and clinical precision, I bring a unique blend of beauty expertise and medical discipline to every service I offer. I became a Licensed Esthetician in 2006 , mastering advanced treatments like Chemical Peels, Light Therapy, Microdermabrasion , and Makeup Application — all while working as a Laboratory Technician in a hospital for over five years. This experience taught me the importance of precision, hygiene, and attentive client care — values I carry into every appointment.
My journey into permanent makeup began in 2017 , and since then I’ve built a reputation for my focus, professionalism, and attention to detail. My clients know they’re in steady, caring hands — I make it a point to ensure every client feels heard, valued, and beautiful.

Paramedical and camouflage tattoos are specialized cosmetic tattoo procedures designed to improve the appearance of skin affected by scars, stretch marks, surgical procedures, burns, or pigmentation loss. These treatments help blend discoloration into the surrounding skin tone for a more natural appearance.
Ideal candidates are individuals with fully healed scars or stretch marks (typically 12–18 months old), stable skin conditions, and realistic expectations. A consultation is required to determine eligibility.
Camouflage tattooing can help improve the appearance of:
● Surgical scars
● C-section scars
● Mastectomy scars
● Self-harm scars
● Burn scars
● Stretch marks (striae)
Each case is evaluated individually.
No. This treatment does not remove scars, but it can significantly reduce their visibility by blending pigment into the surrounding skin tone.
Most clients require 2–3 sessions, depending on skin type, scar texture, and how the pigment heals. Sessions are spaced 8–12 weeks apart.
Discomfort is minimal to moderate and varies by individual and treatment area. A topical numbing agent is used to enhance comfort.
Camouflage tattoos are considered long-term, but fading can occur over time due to skin regeneration, sun exposure, and lifestyle factors. Touch-ups may be recommended.
Areola restoration tattooing is a medical tattoo procedure that recreates the appearance of a natural areola and nipple using advanced shading and color-matching techniques, often following breast surgery or reconstruction.
Candidates include individuals who have undergone:
● Mastectomy
● Breast reconstruction
● Breast reduction or augmentation
● Gender-affirming surgery
● Areola pigment loss
Surgical sites must be fully healed before treatment.
3D areola tattooing uses artistic shading and highlight techniques to create the illusion of dimension and projection—without physical reconstruction.
When healed, results are highly realistic and customized to your skin tone, anatomy, and preferences. Many clients find the results emotionally restorative.
Appointments typically last 1.5–3 hours, depending on whether one or both areolas are treated.
Yes, but like all tattoos, gradual fading may occur. Touch-ups may be needed every few years to maintain color vibrancy.
Yes. Procedures are performed using medical-grade pigments, sterile equipment, and strict sanitation protocols. A full consultation and medical history review are completed prior to treatment.
Initial healing takes about 7–14 days, with full pigment stabilization occurring over 6–8 weeks. Mild redness, swelling, and tenderness are normal during the first few days.
Clients must follow detailed aftercare instructions, including:
● Keeping the area clean and dry
● Avoiding sun exposure
● No swimming, sweating, or saunas during healing
● Applying approved healing ointments only
Certain conditions may prevent treatment, including:
● Active skin infections
● Pregnancy or breastfeeding
● Uncontrolled diabetes
● Keloid scarring tendencies
● Certain autoimmune disorders
These are reviewed during consultation.
Yes. A private consultation is required for all paramedical and areola tattoo services to assess skin condition, scar maturity, and treatment suitability.
Paramedical tattooing is considered an elective service and is not typically covered by insurance. However, some clients may seek reimbursement independently.
Absolutely. All services are performed with discretion, compassion, and trauma-informed care in a private setting.

LOCATION
5653 Carolina Beach Rd Unit A2
Wilmington, NC 28412
By Appointment Only
Phone
910-540-8966
LIABILITY
Please note that BEAUTY BY DESIGN cannot accept responsibility for any injury or damage caused by any services performed by our artists, including lash extension applications, permanent makeup treatments, and microneedling services. By booking an appointment with BEAUTY BY DESIGN , you agree to all terms and conditions and understand that BEAUTY BY DESIGN and our artists accept no liability, and you accept full responsibility.
FACILITY POLICY NOTICE
For sanitation, safety, and liability reasons, pets and children are not permitted in the spa. Service animals are allow as required by law.
DISCLAIMER
Paramedical tattooing is a cosmetic procedure and is NOT a medical treatment. Results may vary based on individual skin type, condition, healing response, and adherence to aftercare instructions.
These services do not replace medical care and are not intended to diagnose, treat, cure, or prevent any disease or medical condition. Clients must receive clearance from their physician when appropriate, particularly following surgery, radiation, or medical treatment.
A consultation is required to determine candidacy. Not all scars, skin conditions, or pigment irregularities are suitable for paramedical tattooing. Multiple sessions may be required to achieve desired results.
BEAUTY BY DESIGN and Karla Aguilera assume no responsibility for unrealistic expectations or outcomes influenced by factors beyond professional control.
REFUND POLICY
At Beauty by Design, we are entirely committed and focused on making sure each of our guests receives the ultimate luxury experience. If you have concerns with a service you received, please contact us within 48 hours. NO REFUNDS, whatsoever, are offered on any of our lash + brow + microneedling services. If you have an allergic reaction to a lash extension service we provided, a removal will be offered free of charge. Retail products and Gift certificate purchases are also non-refundable.
CANCELLATIONS
Cancellations or rescheduling are only accepted 24 hours prior to the scheduled appointment. SAME DAY CANCELLATIONS AND NO-SHOWS will be charged a 50% fee for permanent makeup services, while all other services will be charged the full amount of the missed service.
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