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Hi Ruby -
I have another version of nips and tats - oh my..
Mine came with a lift for the natural side.... I had a left mastectomy and reconstruction - so when it was nipple and tattooo time, I wanted both because as April said - it makes me feel back together again...
The nice perky boobette was going to get a nipple and tattoo - so the 51 year old one next to it needed a lift. It was done out patient - the right side received a lift, the left side received a nipple. After the nipple healed, the tattoo was done in the plastic surgeons office. I am very pleased with the results.
Very easy procedure - had to wear a nipple protector for 2 weeks I think while it healed - after that - clear sailing.
After I had this done - I was dressing one morning and put a camisole on - when I looked in the mirror and saw the outline of 2 nipples looking back, I cried. I knew I was back.
Best of luck to you in your decision...