When the nipple is absent it can be reconstructed. Most commonly, the skin of the chest is used for the Nipple Reconstruction. Absence of the nipple can be congenital or acquired. Congenital absence of the nipple occurs when someone is born without a nipple. Sometimes the areola is present, though usually it is reduced in size and may be located higher and more laterally on the breast. Congenital absence of the nipple can be an isolated finding, or it can one aspect of a larger syndrome. One example is Poland Syndrome.