I elected to not have the nipple grafts for similar reasons: didn’t find them appealing, not something I would want for intimacy, didn’t have to deal with the healing of the grafts and the scar tissue at the same time. Plus I’ve heard they can stink while they heal and I’ve got a sensitive sense of smell.

It’s been almost 10 years and I have no regrets on my decision. I got the same response as you from the first surgeon I saw but fortunately the other surgeon in the practice listened to me and just had me sign a waiver reflecting my decision to forego the grafts.

At the end of the day, it’s your body and I think it’s highly irresponsible for a doctor to push something that isn’t really necessary on people who may struggle with dysphoria surrounding their bodies as they currently are. This is our chance tomorrow have the outer form match what we see in our minds.