Although I must admit that I was a bit relieved to hear that there was
no baby involved in this situation, I do sympathise with this person.

This is sure a new one!  I've tried to think how any experience with
induced lactation in women would apply to induced lactation in a
transexual.  I wonder if the situation would be more similar to someone
born with Turner's syndrome inducing lactation.  Unfortunately, although
I suspect it would be possible, I've never know of someone with Turner's
nursing an adopted baby.

Since the objective of this person is to produce changes in her nipples
and areolas, the best thing I can think of is to consider permanent
breast changes in nulliparous women who have nursed adopted babies.
Unfortunately, I have never asked, and don't know of anyone else who has
discussed permanent breast changes.  So, all I really have to go on is
my own experience.

With my first two child, whom I only nursed part-time for a few months,
my breasts quickly returned to exactly how they were before.  At
present, my breasts are very different than they were before I started
nursing my third adopted child, eight years ago.  Since then, there has
never been a time when I have not been nursing someone at least
occasionally.  I think there are several factors that produced these
changes, including age, the 30 pounds I have gained in that time, and
LOTS of nursing.  I cannot imagine anyone pumping anywhere near as much
time as I have spent nursing.  So, I would have to say, based on my
experience,  that I would not expect to see permanent nipple changes
occur through pumping alone.

I also wonder, however, if she could elarge her areolas by stretching
them from the outer edge.  This would be similar to circumcised men who
do foreskin restoration by applying constant tension to the stump of
their foreskins.  It is a slow process, but many men who have done it
have been very pleased with the results.  I think your client would have
to be pretty creative, but I suspect that this would be possible.  Maybe
foreskin restoration information, such as "The Joy of Uncircumcising" by
James Bigelow, Ph.D, would give her some ideas.

I hope this is of some help!

Aloha,
Darillyn