Enlarged Nipples
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While not truly a "risk", it should be noted that after piercing, most people will experience enlarged nipples (which are far more likely to show through a t-shirt, for example). It's also important to note that for most people, this enlargement will not go away even after the piercing is removed.
This enlargement can also occur from regular play piercing and other heavy nipple play — not just from permanent nipple piercings. Enlarged nipples from heavy play piercing may look like bulbous scar tissue that some won't find aesthetically pleasing.