I have a friend who showed me a way to use the syringe with no cutting because we are both mechanically retarded and would lose a finger eventually trying to cut one. She takes the plunger out of one syringe and attaches a piece of tubing to the tip then using a second syringe attached to the other end of the tubing creates pressure with the second syringe. She feels like the mother has a little more range of motion to get comfortable. She also chooses the size of the syringe based on the diameter of the nipple ( usually you can tell even with inverted nipples). I think of this as a very tiny breast pump. She has had good results using this technique but I haven't had a truly inverted nipple to try it on yet. I also would feel more comfortable sending these directions home with a mother. A quick comment on the breast tissue implant- I understand that this tissue is supposed to "grow" - how do they turn it off? Scary thought! Debby Kearney IBCLC