Remember my case report of the pregnant primip with a hx of a pierced nipple? The nipple had always been slightly inverted, and she felt the piercing had everted it somewhat. She'd had the nipple ring removed during early preg. and it was fully healed with holes filled in when I saw her approx. 6 weeks before delivery. I spoke to her shortly after the birth. There were some complications with delivery (baby had broken collar bone) and she was miserable with engorgement, but wasn't having any special trouble with that nipple. I phoned her yest. to see how things are going now. baby is about 2 mo old and nursing well. She feels there is no difference between the functioning of her nipples. She notices that the formerly pierced nipple is still somewhat less elastic, but that is about it. I don't know how much can be extrapolated from one case, but I had no experience with this type situation prior to this contact, and share it in hopes it may assist anyone else who encounters something similar. Barbara Wilson-Clay, BSE, IBCLC priv. pract. Austin, Tx