Below are some example images of the permanent Nipple Tattoos I create with some before and after pictures. This shows the realism achievable and also the 3D effect in detail. Each nipple is designed, after careful consultation,  to match the skin tone and breast type of the client for a natural look.

Many are created on completely flat skin where there is no surgically created nipple bump. This shows what can be achieved by the artistic application of shadows and highlights. Some clients have had nipple reconstruction. In this case, shadowing, highlights and textures can be added to make the whole nipple and areola complex look natural.

I am eternally grateful to my clients who allow me to share their photos here in the hope that it may help others.